Doctor insights on:
Ppi And H2 Blockers Together
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
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
Omeprazolw: All of these medications should be taken with an empty stomach. Sacralfate one hour prior. Domperidone 30 minutes prior to meals. Omeprazole 30 minutes before breakfast or dinner. Sacralfate should not be taken more than 4 weeks. If you could arrange these medications appropriately, then ok to take them. ...Read more
What are the long term effects of beta blockers and ace inhibitors ie : lisinopril 2.5 and metoprolol succinate 50mg both q daily.
Yes and No: Remember the goal in medicine and in health is to not just 'treat' GERD forever, but to find the cause of it and to eliminate the cause so that treatment for the long term is unnecessary. Many in the U.S. fail to do this and continue their very dangerous habits causing GERD and think it safe to take PPI's for the long term. This is erroneous thinking and dangerous for health. ...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
In my: Experience, ppi's work better. What is more important, however, is underlying cause that needs to be addressed. Consult with your doctor or GI specialist. ...Read more
Why doctors also prescribe PPI like Nexium (esomeprazole) that reduces stomach acid along with Clathromycin & Amoxicilln when treating H Pylori?
Im taking 25 mg paxil (paroxetine) and the doctor has prescribed 37.5mg tramadol for migraines prn . Are these safe together ?
No....: Both are PPI.......if needed you can take one with increased dose. ...Read more
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
Not necessary: These drugs are in the same class and usually are not taken together... ...Read more
Do the ppi's such as Nexium (esomeprazole) and other prescription ppi's work to help laryngopharyngeal reflux?
How far apart to safely take Prednisone, Aspirin, Plavix, Metoprolol, Pepcid (famotidine) in AM? And Prednisone, Pepcid (famotidine), Metoprolol in PM?
Combination of meds: pepcid (famotidine) blocks the acid receptors in the stomach and may interfere with the breakdown and therefore absorption of some of the medication you have mentioned...i would suggest taking the pepcid (famotidine) a few hours after your other medications but i know may patients who safely take all of these medications together ...Read more
Yes: But if having to take both you need to see your doctor and probably get a scope (edg). ...Read more
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