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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
1,280 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 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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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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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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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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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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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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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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Dr. Shari Jackson
284 doctors shared insights

Proton Pump Inhibitor (Definition)

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