Doctor insights on:
Ppi And H2 Blockers Together
Are h2 blockers like Pepcid (famotidine) everyday less bad for you than ppis? I eat that bland diet still get reflux been that way for years I have take something
FInding the cause: Is the best....All meds have some long term affects, so correcting the problem at its root is best. A chinese medicine practitioner can help the most. Diet changes can also help- like eliminating dairy, gluten, and spicy foods. Decrease alcohol consumption.Increase fresh foods and decrease processed foods. I do not think there is a god answer to your question from my perspective-so I went further. ...Read more
Do I need to stop h1/h2 blockers when testing fasting gastrin? If so, for how long & does h pylori need treated b4 gastrin test? I no longer use ppis
H12 blockers gastrin: 36 F Do I need to stop h1/h2 blockers when testing fasting gastrin? If so, for how long & does h pylori need treated b4 gastrin test? I no longer use ppis. ANS: Your local team is best able to answer these questions. It depends on what you may have and what they are testing you for. So give them a call and let us know what they say and why. Thanks. ...Read more
Can anxiety cause acid reflux? I have tried ppis, h2 blockers, Gaviscon advance and lifestyle/diet changes for months; no effect from these.
What is the likelihood of missing h-pylori on various tests 2-3 times? For the breath test I didn't use PPIs or H2 blockers for 1 week prior.
Small meals: Small frequent meals, low in fat and fried foods- cause they delay stomach emptying. Foods that don't contain caffeine such as coffee and tea and dark chocolate would be helpful since these products also increase acid production in the stomach. If overweight, losing weight can decrease the pressure on the abdomen that is contributing to reflex. ...Read more
Sure, best at night: Some ppi's don't last all day, so acid production rises by evening. Such patients may benefit from either a second dose of ppi medication before dinner, a switch to a longer acting ppi, or the addition of h2 blocker medication at bedtime. ...Read more
2 egd in 2 mos. And bx grade c erosive esophagitis and 3 New gastric ulcers. On carafate (sucralfate) ppis and h2 blockers. Bx this time requiring more tests?
Break-thru ulcers...: ...despite appropriate acid suppression (as described) warrants consideration for cause. Further testing is warranted. ...Read more
Had virus go through me 5 months ago. Caused major gastritis and stomach intestinal metaplasia. Gastritis not healing. Using PPI and H2 blockers.????
More to this.: I hate to say it, but I simply am not convinced that a viral infection five months ago would solely explain all of this. There may be something else going on here that requires an investigation and proper diagnosis. You need to be evaluated and tested by gastroenterologist. ...Read more
Is one class of acid blockers generally considered more safe for long term use? PPI vs H2 Blockers specifically.
No clear answer. As: With all medications, the big issue is not the medication but the situation; the dominant issue. Being alive is fantastically complex. Rx meds are only single molecules recommended in specific quantities/time to shift behavior, hopefully toward better. Stomach acid production can vary a million fold/24 hr; pH 7 to pH 1. H2 blocker can ↓ acid 100 fold; PPIs 1, 000 fold, of the million range. ...Read more
Prilosec10yrs+ Short seg Barrett's.HALO ablation2015.Barrett's gone. Prefer stop PPI's. Endoscopy July '16. Wait? H2 blockers enough? Combo approach?
Endoscopy: I would wait for July's endoscopic results before making any changes in your management. If there's no sign of Barrett's, your gastroenterologist may agree with avoiding more long-term ppi therapy in view of recent reports of adverse potential side effects. On the other hand long term ppi treatment does protect against malignant transformation. ...Read more
What is safer to take for heartburn, H2 Blockers or PPI's? I have heartburn a lot and want relief but am scared of side effects or long term effects.
Heartburn. H2/PPI?: Neither are recommended for long term use. If you have long term heart burn you need to figure out why and treat the reason. I would start by going to Wikipedia for heart burn. ...Read more
Which are safer to use, PPI's or H2 blockers for heartburn? Hear bad things about Pantoprazole, so I'm thinking of trying Zantac, what are side effects?
Safety: More information about harmful side effects of taking long term ppi's are being published in the medical literature. At this time I feel that long term use of h2 blockers like zantac and pepcid are safer. Your pharmacist can advise you about latest information on your medications. ...Read more
Been on h2 blockers and ppi for about 5 months due to chronic reflux. My reflux has improved and now I'm off it but I'm now having muscle cramps and spams in my legs and neck. Is this a side effect from the meds and will it pass or is it permanent?
Unlikely side effect: These symptoms are unlike as side effects from the PPIs and H2Blockers and may be unrelated to the drugs. I suggest you consult your doctor to find out cause for your symptoms and appropriate treatment. ...Read more
How can the therapeutic effects of antacid drugs, h2 blockers, proton pump inhibitor drugs, misoprostol?
Question?: I'm not sure I fully understand what your question is? The drugs you listed all help with symptoms of GERD or stomach ulcers, and they have different means by which they help patients with these problems. The safest and easiest to take are antacids and H2 blockers. Please consider rephrasing your question more specifically. ...Read more
Of course: H2 blockers (tagamet, zantac, (ranitidine) pepcid) reduce acid production, while antacids (mylanta, maalox) neutralize acid that has already been produced. Talk to your doctor about stepping up to proton pump inhibitor treatment to achieve improved acid suppression, if clinically warranted by persistent acid-related symptoms refractory to the combination of h2-blockers and antacids. ...Read more
I am being told to take PPIs and H2 receptor blockers indefinitely for Intestinal Metaplasia. This all arose after a bout with norovirus. Thoughts?
Dear doc, is cod liver oil safe to take with: 1. bp meds (beta blockers, calcium channel blockers) 2. proton pump inhibitors & 3. VitD3 supplements?
Yes: It's fine to take with the blood pressure medications and the proton pump inhibitor. I would probably stop the vitamin D supplement as cod liver oil has vitamin A and D as the main vitamin sources. Vitamin D is one you can get in trouble with because it is fat soluble and can accumulate in your organs if you take too much. ...Read more
Many meds for hives: H2 blockers are easy and inexpensive to try and they do sometimes help with treating chronic urticaria. They include cimetidine, ranitidine, Famotidine and nizatidine. They are all available over the counter without a prescription. In my experience, they rarely work well by themselves, but sometimes work well along with a good h1 blocker, like Cetirizine or fexofenadine. Use an allergist for help. ...Read more
Why would reactive gastritis be seen on endoscopy if low acid diet and h2 blockers are the norm? What other recommendations are there?
Gastritis causes: Gastritis (inflammation of the stomach) can be caused by excess stomach acid associated with smoking, alcohol or caffeine. Gastritis can also be due to anti-inflammatory medications (nsaids) e.G Aleve (naproxen), motrin/advil (ibuprofen) and others. Another cause: bile reflux after gallbladder removal. Diet has a minimal role and h2 blockers may need to be upgraded to ppi (prilosec, prevacid). ...Read more
Can you become hypoglycemic as a result of gastritis or taking h2 blockers like ranitidine 300mg?
Can h2 blockers heal your esophagus I take 20mg 2x a day. So well that help heal me and stop the chest pains.
How is the timing of taking other meds (h2 blockers & tylenol) best scheduled when taking sulcrufate? How many times a day can sulcrufate be taken?
I heard about the side effects of prolonged use of PIP's & was wondering if H2 blockers r any better 4 someone who had bleeding ulcer that's inactive?
Better tolerated: H2 blockers don't seem to have the same degree of effects like increased risk of osteoporosis, hypomagnesemia (low magnesium) and pneumonia as do PPI's. Remember, they both lead to lower levels of acid secretion, so you still have to have some concern of similar affects in the long run. ...Read more
Just started therapy with omeprazole 40mg. Doctor mentioned switching to H2 blockers after 3 months and rotating? Can you explain this?
Acid reflux: It is very common to try to get acid reflux under control with a PPI, such as omeprazole, headed to try to cut back to an H2 blocker, such as Zantac, if possible. In general, we try to use at least potent medicine which will keep symptoms under control. If the Zantac does not work, you may need to go back on the PPI. Good luck. ...Read more
What is the best way to introduce antihistamines or H2 blockers into my System after I use epipen (epinephrine) before I go to the hospital? Or tostopmildreaction.
Anti histamines: You can take either an antihistamine or H2 blocker (or both immediately following using an epipen (epinephrine). It may help stop a worsening allergic reaction. Anti histamines block H1receptors and H2 blockers work on H2 receptors so you are blocking both histaminic receptors. Best is to avoid whatever you are sensitive too in the first place. ...Read more