Doctor insights on:
Prevacid Otc Dosage
Marketing: Nexium (esomeprazole) and Prilosec are equivalent and have the same effect. The Nexium (esomeprazole) is a molecular modification which allows the pharm company to sell the drug as a new and more effective anti-acid. In fact the effect is the same and Prilosec (generic omeprazole) is far cheaper. Save your hard earned money. ...Read more
Pt driven: There is no definitive answer here. The answer is patient driven. Both these meds are in the same class of PPI (Proton Pump Inhibitors) and are oth at 40mg. Some pateints may feel the nexium (esomeprazole) works better, whereas others feel the protonix does. Depending on what your insurance covers and which one makes you fee better is the one for you. Diet with avoidance of triggers is most important. ...Read more
Any interactions plaquenil methotrexate motrin800 Tylenol500 folic acid prilosec aspirin lopressor cartia imdur ambian singulair xyzal (levocetirizine) melatonin ?
Too many: You are taking so many drugs that it is difficult to tell whether drug interaction may occur. Even if you run a profile in Epocrates , it is impossible to tell whether a combination with another drug may lead to interaction. Thus you will require close monitoring by your doctor and be on the lookout for any adverse effects. ...Read more
Is taking two 15 mg of Prevacid (lansoprazole) the same as taking a 30 mg Prevacid (lansoprazole) prescription strength?
Yes: yes , may only need 15 mg, not much benefit of more. ...Read more
Doc prescribed Carafate for my gastritis. I'm taking propranolol, synthroid, omeprazole, amitiza, (lubiprostone) fish oil, multi vitamin daily. Any interactions?
Yes: Zantac (ranitidine) is actually used to counteract the irritation from taking advil. If you are taking advil on an ongoing basis it will probably not help with tomach pain (counteract the irritation effects). But if you have stopped the advil zantac (ranitidine) will help any irritation causing the discomfort to heal more quickly than it would do without any treatment. ...Read more
Depends who answers: Prevacid (http://www.drugs.com/prevacid.html) is a brand of generic lansoprazole. Most original versions of drugs are 50:50 mix of mirror images. In other words, they come in right AND left hand versions. Some manufacturers have learned to separate active version (sometimes right, other times left) from inactive one. Dexilant (dexlansoprazole) (http://www.drugs.com/mtm/dexilant.html) is active right hand version. ...Read moreSee 1 more doctor answer
Ppi dosing: The maximum doses of each ppi are equipotent in reducing acid. Going higher than these doses impart no greater benefit and should not be exceeded. Prilosec/omeprazole: 20 BID. Prevacid/lansoprazole:30 BID. Nexium/esomeprazole:40 bid. Protonix/pantoprazole: 40 bid.Aciphex/rabeprazole:20 bid.Zegerid 40 daily. and Dexilant (dexlansoprazole) 60 daily. So to answer Dexilant (dexlansoprazole)60=omeprazole40, ...Read moreSee 1 more doctor answer
Is there any over-the-counter acid reflux medicine stronger than Pepcid (famotidine) complete and prilose otc?
Sure...: Pepcid (famotidine) is an H2 blocker. That class of drugs relative to acid suppression is exceeded by the proton pump inhibitor (PPI) class, of which Prilosec was the first. Many subsequent PPI's have been introduced with longer durations of action. Although we can't endorse particular products on HealthTap, ask your pharmacist to recommend another PPI. Better yet, see your gastroenterologist for the right Rx. ...Read more
Why?: What are you trying to treat? If your symptoms are not controlled with one drug, it is time to see your doctor. ...Read more
Prevacid (lansoprazole) S.E.'s: Prevacid (lansoprazole) is a very well tolerated medication, but in the short term it can cause a number of dose-dependent side effects including commonly headache and diarhea. Longer term use carries other consequences (please see my earlier answer on this topic in healthtap). ...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