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Doctor insights on: What Is The Best Ppi To Take For Gerd

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What is the best ppi to take for gerd?

What is the best ppi to take for gerd?

Equivalent : There are no trials comparing head to head between all ppis but equally they have a direct effect on reducing acid. So a Prevacid (lansoprazole) vs Prilosec should have the same effect. Hope this helps. ...Read more

Dr. David Earle
1,367 doctors shared insights

Gerd (Definition)

It is normal to have some gastroesophageal reflux (ger). It becomes a disease( gerd) when it causes organ damage (imflammation of the esophagus, or barrett's esophagus), it has a significant negative impact on your life, or requires dependence ...Read more


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What is the best OTC to take for heartburn/acid reflux?

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 more

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What is the safest ppi to take long-term?

What is the safest ppi to take long-term?

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

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Hello What is the best medicine (proton inhibitor) to take for GERD.Thanks?

Hello What is the best medicine (proton inhibitor) to take for GERD.Thanks?

Nexium (esomeprazole) is: probably the strongest second generation PPI and I would recommend it. It is OTC but prescription may be cheaper. ...Read more

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What is the best pill to take for allergies?

What is the best pill to take for allergies?

Antihistamines: There are several newer antihistamines that are now over the counter. They all are about the same. Allegra, zyrtec and Claritin (loratadine) to name a few. Try these at suggested dosage. If they don't work, see your doctor. ...Read more

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What is the best medication to take for toothache?

What is the best medication to take for toothache?

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 more

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What is the best medication that I can take for allergies?

What is the best medication that I can take for allergies?

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 more

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What to do for a healthy substitute for Nexium (esomeprazole) to treat acid reflux?

What to do for a healthy substitute for Nexium (esomeprazole) to treat acid reflux?

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

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What is the best medicine for acid reflux?

What is the best medicine  for acid reflux?

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 more

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What is the best way to care for gerd?

What is the best way to care for gerd?

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

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What is the best medicine for gastroesophageal reflux?

What is the best medicine for gastroesophageal reflux?

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

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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?

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?

Explanation. : Prolonged acid reflex can be treated with different medications depending on severity and clinical presentation, and sometimes requires endoscopy. My advice to make appointment with doctor and take proper treatment. Treatment may be prolonged as well: for months. ...Read more

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What is the best medication you can take for fibromialgia?

What is the best medication you can take for fibromialgia?

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 more

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Dr. Chris Oh Dr. Oh
4 doctors agreed:
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What is the best thing for acid reflux?

Dr. Chris Oh Dr. Oh
4 doctors agreed:
What is the best thing for acid reflux?

Antacid: Start with otc Pepcid (famotidine) or mylanta. If does not work try Prilosec otc. If you still have reflux and pain go to your doctor for possible referral for upper endoscopy to look inside your stomach. ...Read more

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Ibs whats the best to take medication?

Ibs whats the best to take medication?

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

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What is the best time for me to take hypertention drugs?

What is the best time for me to take hypertention drugs?

Hypertension: You can take them anytime. I often recommend my patients take them in the evening. If it has a diuretic it should be taken in the morning. ...Read more

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What is the best antihistamine to take for urticaria?

What is the best antihistamine to take for urticaria?

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 more

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What is the best thing to take for fast gas relief?

What is the best thing to take for fast gas relief?

MEDS FOR GAS RELIEF: Simethicone which is sold under many different names is the best med for gas and is available over the counter. ...Read more

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What is the best treatment for acid reflux?

What is the best treatment for acid reflux?

PPI,foods avoidance: Medication in the ppi class such as prilosec. Along with avoidance of certain foods such as caffeine, citrus fruits, chocolate, fatty foods as as as spices...It is best for you to see doctor for evaluation and get proper treatment. ...Read more

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What is the best thing to take for gastritis while you are pregnant?

What is the best thing to take for gastritis while you are pregnant?

Gastritis: Other than avoiding caffeine, heavy, large, spicy meals, medicines like ranitidine and Omeprazole are sometimes used during pregnancy. ...Read more

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What is the best ppi to take for gerd?

Equivalent : There are no trials comparing head to head between all ppis but equally they have a direct effect on reducing acid. So a Prevacid (lansoprazole) vs Prilosec should have the same effect. Hope this helps. ...Read more

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Are there any other medications normally prescribed with PPIs for GERD? Can you just take the PPI only?

Are there any other medications normally prescribed with PPIs for GERD? Can you just take the PPI only?

Rx GERD: hi - theres a host of meds we use for GERD and PPIs are just one. If you have reflux and its not getting better after 6 weeks of trial of PPI then hou must go and see you doctor thanks ...Read more

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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

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 more

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Do you need to take iron supplements if you taking PPIs for GERD?

Do you need to take iron supplements if you taking PPIs for GERD?

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

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What is safe to take for GERD with a prolonged QT? I know that PPIs can prolong the QT.

What is safe to take for GERD with a prolonged QT? I know that PPIs can prolong the QT.

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

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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

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

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Have GERD so take PPIs (pantoprazole) daily. Will this affect my absorption of vitamins and nutrients? if so, should I take supplements? Thanks

Have GERD so take PPIs (pantoprazole) daily. Will this affect my absorption of vitamins and nutrients? if so, should I take supplements? Thanks

Theoretically: IRON is best absorbed in an acid environment and taking a tablet of Vitamin C if you are taking Iron supplements may be helpful!


Hope this is helpful!
Dr Z ...Read more

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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! ?

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! ?

Zantac (ranitidine): If you have not already tried it, you can use Zantac (ranitidine). It's not a PPI. Of course, you should check with your regular doctor first to be sure. ...Read more

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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.

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

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Since i take ppi meds for gerd, should I take b-12 & magnesium? Thanks. William

Since i take ppi meds for gerd, should I take b-12 & magnesium?       Thanks.       William

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

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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?

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

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Diagnosed w GERD and h. Pylori. Do I take ppi's for fees first and then later treat h. Pylori? Or ca

No: I am not sure if i understood the question correct, but you need to on one of the triple therapies for 10-14 days, once you are diagnosed with h.Pylori. The treatment consists of a ppi and 2 antibiotics all together for 10-14 days. ...Read more

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Have had GERD for 20 years. I take PPI daily. Recently feel twitching in stomach. Is this a cause for concern?

Have had GERD for 20 years. I take PPI daily. Recently feel twitching in stomach. Is this a cause for concern?

Nonspecific: The twitching is nondiagnostic and may be due to irritable abdominal muscles or mild contractions of stomach or intestines. See your physician if symptoms persist or worsen. ...Read more

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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?

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?

No: Gerd does not cause arrhythmias but may cause unusual sensations in the chest. Taking a proton pump inhibitors such as Omeprazole would not be likely to pose a significant risk. However without knowing the exact cause of palpitation, cannot comment specifically. ...Read more

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Weaning of Prilosec caused me many stomach polyps any thing I can take other than a PPI for gerd?

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

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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?

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

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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?

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 more

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How long on PPi’s does it take to heal from GERD & LPR? I am on a liquid and purée diet because I feel like solid foods get caught/stick in my throat.

How long on PPi’s does it take to heal from GERD & LPR? I am on a liquid and purée diet because I feel like solid foods get caught/stick in my throat.

Diagnostic enigma: If you feel solid foods get caught in your food pipe,

get a second opinion.

You should be symptom free in 10-14 days

How long are you on puree/liquid diet?

Is medical marihuna available in your state? ...Read more

Dr. Charles Cattano
1,547 doctors shared insights

Heartburn (Definition)

Burning pain or irritation in the upper stomach or lower chest. May be worse on lying down, and is ...Read more


Dr. Brad Goldenberg
313 doctors shared insights

Proton Pump Inhibitor (Definition)

Proton pump inhibitors are a kind of ...Read more