Doctor insights on:
What Is The Best Ppi To Take For Gerd
There is no best: Prevacid, Prilosec, Nexium, (esomeprazole) Zantac, and Tagamet are all over the counter and all good but what is good for you depends on your particular make-up and situation. First get a proper diagnosis and reason you are having the problem you have. Don't eat spicy or fatty foods and don't eat/drink within 3 hours of bedtime. Do not lay flat. See your MD 1st before starting any medication to avoid problems. ...Read moreSee 2 more doctor answers
Same in general: Drugs in the same family don't always work as expected in all people so your doctor would have to find the one that works best for you. They also share the same side effects so talk to your doctor about the side effects and complications so they can be monitored such as success of treatment, your magnesium level and the integrity of your mucosa to avoid effacement or atrophy. ...Read more
Nexium (esomeprazole) is: probably the strongest second generation PPI and I would recommend it. It is OTC but prescription may be cheaper. ...Read more
Depends: Until you see a dentist siple Acetaminophen or an NSAID like Motrin can be helpful. However, don;t wait too long. An abscessed tooth is not only painful but can cause a serious infection elsewhere in your body. If you are taking other medications, check with your pharmacist before using a Motrin like drug. ...Read moreSee 3 more doctor answers
Depends...: ...On what you are allergic to, what your symptoms are, and how great an impact those symptoms have on your life. The best treatment is to find out what you're allergic to (an allergist can help with that) and avoid it. If avoidance is impossible, non-sedating antihistamines (allegra, claritin, xyzal, (levocetirizine) etc.) are currently the most popular treatments. ...Read moreSee 2 more doctor answers
Yes: Try small meals, low fat, with minimum of liquids consumed with the meal. Add Amino Acid supplement glutamate. Sometimes adding a tablespoon of cider vinegar before the meal helps the digestion of fats. Be sure you have been tested for diabetes or bowel disorders if the problem is long-standing. Your doctor can help you track your success and failures, and advise further testing. ...Read more
Zantac (ranitidine) or Pepcid: If you are just starting to be bothered by gerd, then otc zantac (ranitidine) or Pepcid should work well. Those are "h2 blockers" a more potent class of acid-reducing medicine is the ppi class. These include Prilosec and prevacid of course, you should do your part and decrease your intake of peppermint, chocolate, caffeine, alcohol, nicotine, spicy foods, citrus, and carbonated beverages if none work, c ur md. ...Read moreSee 1 more doctor answer
Dietary habits: For occasional heartburn, remember to avoid caffeine, alcohol, and tobacco. Avoid large, rich, acidic, or spicy meals, and do not lie down after eating for several hours. For heartburn more than a couple times a week, try over the counter Prilosec at a dose of 20mg 1/2 hour before breakfast each morning. 3 inch blocks to raise the head of the bed can stop night time symptoms. ...Read more
Diet & lifestyle: Meds only reduce the discomfort / injury associated with gerd. Dietary and behavior modification are what's needed to address gerd. Select better food, smaller portion and keeping your wt in check will serve you well long term. Occasional use of otc meds like Zantac (ranitidine) or Prilosec is fine but you need to see a doc if your problems persist. ...Read more
1. For how long is it safe to take mepracid? 2. And is it the same with antacid? 3. Is it the best med for prolonged acid reflux?
Three: FDA has approved 3 medications as fibromyalgia (FM) specific: Lyrica, Savella (milnacipran) & Cymbalta; non-opioid pain pills. Many doctors use other medications for various symptoms experienced by FM sufferers. This is ethical & is called "off label" use. Opiates seem natural for FM pain, but are officially discouraged. Studies of Cannabis have shown efficacy. ...Read moreSee 2 more doctor answers
IBS: In irritable bowel syndrome, the decision to try medication depends on what type of IBS is present, how severe the symptoms are, and how much it affects your life. Before medications are tried, it is often helpful to increase the amount of soluble fiber in the diet and to increase fluid intake. If this does not help, see your doctor for possible intervention with medications. Good luck. ...Read more
Depends: Most people respond best to zyrtec or xyzal, (levocetirizine) as long as they don't get drowsy with them. Everybody reacts differently to different antihistamines, though; most people with urticaria will try many of the available antihistamines, alone or in combination, under a physician's supervision, to get the best control of their hives. ...Read moreSee 1 more doctor answer
Acid is bothering daily.Take proton pump inhibitors but still gives lot of discomfort. Which med should be taken and the best dose.Dr says its GERD.
Are there any other medications normally prescribed with PPIs for GERD? Can you just take the PPI only?
I take ppis for GERD since 13 yrs. Will this affect mg absorption? Should I use mg supplements? If yes, what type and dose would be right? Tyvm
Get tested: Ppis can also affect your vitamin B12 so rather than just supplement, get your blood levels to know if you are deficient. Among the best food sources of magnesium are nuts and they are very healthy and far less fattening than most people think. So test and then eat nuts if you need more mg. ...Read moreSee 1 more doctor answer
No: Although there is a lot of talk about iron absorption while on PPIs on the Internet, the practical aspect of it is that the effect of PPI's on this is very minimal. There is no reason to take extra iron supplements. If you need to be on PPI's for years, it might be reasonable to check a blood count every year or so. Otherwise, you are unlikely to have problems. Good luck. ...Read more
Not true!: PPIs DO NOT prolong the QT interval. They are safe. The recent safety concerns over PPIs are related to their interaction with platelet inhibitors following percutaneous intervention, not due to arrhythmias. Other safe drugs include the histamine 2 blockers like ranitidine/Zantac. Antacids (like Mylanta and TUMs (calcium carbonate) and Rolaids) are also safe. ...Read more
Due to my severe GERD severe heartburn when I take antibiotic pills despite being on PPIs. Do all antibiotics come in injectibles as well? tyvm
GERD: Many antibiotics do come in injectable forms. However, if your heartburn is that severe, I would encourage you to speak with your provider. If not already done, you would benefit from an upper endoscopy to see what's going on in the upper GI tract. You might also need twice daily PPI for a period of time. You should have this checked. ...Read more
Have GERD so take PPIs (pantoprazole) daily. Will this affect my absorption of vitamins and nutrients? if so, should I take supplements? Thanks
What is a good alternative to prilosec for gerd. I dont want to take anymore ppis , weaning off prilosec caused me to many polyps in stomach! ?
I’m 23 and I have severe GERD. What could happen if I don’t take a Ppi to treat it? Diet modification hasn’t worked. I don’t like medications.
GERD: Please continue to do what your doc says. Ask him/her about a natural product called DGL. This is essentially licorice capsules w/an enzyme removed. It is found in health food stores. Unfortunately, conventional docs do not often know about such products. Peace and good health. ...Read more
Not necessarily: With long term use of ppi's, may be worthwhile to check a B12 level after 10-15 yrs of use. Thereay be a rational to check a baseline magnesium level if you have diarrhea or other electrolyte problems. I would not take either supplement unless you knew you were deficient in either. ...Read more
Can GERD that was not treated for 1.5 months with ppi's actually cause barrett's? Or would it take longer to develop and can on ppi's?
Don't wait for sxs: Barrett's epithelium occurs as a terminal event in those with chronic gerd, but gerd may be "silent" for years. Don't wait to feel sick since barrett's leads to esophagus cancer. Poorly treated barrett's can progress by replacing more ; more of the esophagus lining, ; can become dysplastic. Barrett's warrants surveillance endoscopy, aggressive acid suppression, ; maybe ablation ;/or surgery. ...Read more
Diagnosed w GERD and h. Pylori. Do I take ppi's for fees first and then later treat h. Pylori? Or ca
Have had GERD for 20 years. I take PPI daily. Recently feel twitching in stomach. Is this a cause for concern?
Took calcium citrate (2 tablets for 500mcg twice daily). horrible heartburn. take ppi's and have GERD and hernia. possible? what to take instead?
Can GERD cause palpitations? Also, if it is not the GERD causing the palps is it safe to take ppi's like omeprazole or lansoprazole with palps?
Weaning of Prilosec caused me many stomach polyps any thing I can take other than a PPI for gerd?
Yes, many antacids a: There are many antacid medicines available for GERD. Besides PPIs, there are H2- blockers like Cimetidine/ Ranitidine and Famotidine(Pepcid (famotidine)). Pepcid (famotidine) is the next best medicine to stop acid production in your stomach. it is available as a prescription as well as over the counter. Take one tablet daily at bedtime. if the symptoms recur during the day/evening, take it twice(12 hours apart) daily. ...Read more
Take Zantac 75mg 1x for gerd because cannot tolerate ppi. Doctor said increase to 2. Dizzy and fast heartrate 1 hour after 2nd dose. Will body adjust?
Any other meds: Are you on any other meds becuase it is possible a drug interaction.Dizziness does occur at times with Zantac along with headache and that tends to get better in most over time.Effects on heart can occur but usually slow heartrate are not that common but some may have a paradoxical reaction.I would advise before continuing since I am Not privy to your particular case to speak to the pescribing doc ...Read more
I have GERD and on omeprozole, my mouth/tongue is very dry & my voice sometimes is hoarse. Anything i can take? Is this cause from taking ppi s?
Baking soda in water: Stomach acids from gastric reflux can be very irritating on the throat and vocal cords leading to hoarseness and dry mouth. Omeprazole can also dry out normal secretions that keep your mouth moist. Avoiding acidic foods (citrus, tomatoes, etc.) spicy foods and alcohol can help control gerd. Drinking a glass of water with a teaspoon of baking soda after meals will neutralize acids too. ...Read moreSee 1 more doctor answer