Doctor insights on:
Not typically: not typically. Recommend follow up with primary care doctor or gastroenterologist ...Read more
ConsultGastroenterol: Sometime we do prescribe PPIs in combinationwith H2 Blockers But before we do that I suggest you consult a gastroenterologist Meanwhile also modify your life style Quit Smoking,if obese loose weight,Cut down on alcohol,Dont eat too close to your bed time,avoid large fatty meals.avoid garlic&onions,tomatoes and citrus fruits etc ...Read moreSee 1 more doctor answer
Is Nexium (esomeprazole) 40mg Daily; stronger than the Prilosec 20mg daily? GERD is bad dr is switching from Prilosec 20mg, to Nexium (esomeprazole) 40mg. . . . .
Gerd: Yes. I think that taking Nexium40 mg may give you better releif ...Read more
Bile reflux-acid reflux, being treated for acid reflux 40mg Pepcid (famotidine) and 40mg pantaprozole each 2/aday. But symtoms of bile reflux..Wrong meds?
Bile or acid reflux?: If you have acid reflux disease and are having symptoms despite high dose acid-reducers and acid-blockers, then either your reflux is more severe and other treatment options should be considered, or the reflux is not acid-related but possibly gall bladder/liver related. ...Read more
Can I take 600mg of ibuprofen 3x/day for 1 wk. if I have GERD & eosinophilic esophagitis? I take 40mg prilosec & 100mg Zoloft (sertraline) daily.
With caution: Make sure u take omeprazol on an ampty stomach ( wait at least 60min after eating ) , for its complete absortion. 40mg is a good protection for GERD and esophagitis, but still better reduce the ibuprofen to only 400mg q8 hours. To prevent any worsening of your stomach symptoms. ...Read more
30 days on 40 mg pantoprazole, still mild heartburn, endoscopy diagnosed 3 'mild' stomach ulcers. Doc said try 40 mg panta a.M. 150mg ranitidine ?
May need more: Infrequently, standard treatment is inadequate. I would first avoid all alcohol, coffee, tea, caffeinated beverages, and tomato sauces, as well as spicy foods. After doing that, if the heartburn is still felt, you could try the pantaprazole twice a day for at least 30 days. ...Read more
Is it safe to take 60mg of dexilant, (dexlansoprazole) 40mg omeprazole, and 150mg of Zantac daily?
Overkill: Dexilant (dexlansoprazole) and Omeprazole belong to the same category of meds (ppi) different delivery system and zantac is h2 blocker which blocks acid production at a later part of the spectrum than ppi. We have mixed ppi and h2 blockers for severe gerd or persistent acid (tested by monitoring) but not two ppi as the side effects can increase like hypomagnesemia. ...Read more
Taking Rabeprazole 20mg since 2010 for longstanding Gord/gastritis. Biopsy 2013 moderate PPI effect on acid secreting tubules. Intestinal metaplasia?
Long Use of a PPI: Proton Pump Inhibitors (PPIs) are increasing considered a risk issue in long-term use. While it is difficult to answer your question specifically without further information, consider that for GERD and Gastritis, non-drug interventions such as a wedge pillow and changes in your diet can be an alternative to long-term PPI usage and exposure to potential side effects. ...Read more
Can i take mylanta or maalox while taking Amoxicillin 500mg... Metronidazole 500mg. ..and Omeprazole 40mg?
No problem: These drugs are not affected by antacids. ...Read more
Taking Protonix (pantoprazole) 40mg DR forupset stomach from morphine+dilaudid. But I had h-pylori 10 yrs ago - my MD didnt know this. Should I stop protonix (pantoprazole)?
No need to stop: Your H.Pylori history shouldn't be an issue with your present course of treatment. ...Read more
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
I take dilzem 240mg x 1, dilzem 120mg x 1, victoza (liraglutide) 12mg x 1, digoxin 250 micg, gliclazide 80mg x 1, allopurinol 300mg x 1 & warfarin do they interact?
Extra care: Several medications can interact with warfarin including Diltiazem and digoxin. It does not mean you cannnot take warfarin but your dose has to be regulated even more closely when a new medication is started. Also it is important to check digoxin level when a new medicine such as warfarin is started. In addition monitor your blood sugars more closely with new medicines so it is not too low. ...Read moreSee 1 more doctor answer
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