Are antacids better than PPIs?

Proton pump inhibitors (PPIs) reduce your body's production of acid. They work well for heartburn that isn't resolved by antacids or H2 blockers
H2 blockers
Unsourced material may be challenged and removed. H2 antagonists, sometimes referred to as H2RAs and also called H2 blockers, are a class of medications that block the action of histamine at the histamine H2 receptors of the parietal cells in the stomach. This decreases the production of stomach acid.
https://en.wikipedia.org › wiki › H2_receptor_antagonist
. It may take a little longer for a PPI to help your symptoms, but relief will last longer.
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Which is better omeprazole or antacid?

Tums (Calcium carbonate) gives quick relief for heartburn, but does not last all day. Talk to your doctor or pharmacist about other medicines if you need additional relief. Prilosec (omeprazole) lasts longer (up to 72 hours) than other classes of acid reducers (like Zantac, Pepcid, or Tums).
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Should you take an antacid with a PPI?

It is fine to take these medications in combination. For example if you have heartburn while taking PPI, you may take an antacid to relieve it.
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What is the safest antacid to take long term?

Oral pantoprazole is a safe, well tolerated and effective initial and maintenance treatment for patients with nonerosive GERD or erosive esophagitis.
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Which is better for GERD PPI or H2 blocker?

Other medications that can treat excess stomach acid include H2 receptor blockers, such as famotidine (Pepcid AC) and cimetidine (Tagamet). However, PPIs are usually more effective than H2 receptor blockers and can ease symptoms in the majority of people who have GERD.
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What’s the difference between PPIs and Antacids?



Are H2 blockers safer than PPIs?

Here, the researchers found that people who took PPIs had a 24 percent increased risk of death compared with people taking H2 blockers. Further, the risk rose steadily the longer people used the drugs.
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What is the strongest medication for acid reflux?

PPIs are the most powerful medications available for treating GERD. These agents should be used only when this condition has been objectively documented. They have few adverse effects. However, data have shown that PPIs can interfere with calcium homeostasis and aggravate cardiac conduction defects.
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What can I use instead of PPI?

Although PPIs were found to be more effective in treating symptoms and complications associated with GERD, H2 blockers have proven to be just as effective in suppressing gastric acid. H2 blockers are available by prescription or over-the-counter, and include ranitidine, famotidine, cimetidine and nizatidine.
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What happens if you take antacids everyday?

One potential downside of long-term heavy use is that the medication could put you at an increased risk for osteoporosis. Although rare, antacids with aluminum [such as Maalox and Mylanta] may deplete your calcium levels, which could cause your bones to become brittle.
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Is Gaviscon safer than omeprazole?

There was no significant difference between groups in clinically relevant reduction in pain intensity, although overall qualitative pain relief was slightly (p = 0.049) in favour of omeprazole. Results of the GOOD trial also showed that Gaviscon® and omeprazole 20 mg could be used both safely.
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Who should not take proton pump inhibitors?

Some risks of taking a PPI for a year or longer include:
  • Higher risk of certain fractures.
  • Higher risk of kidney disease, or kidney disease that gets worse.
  • A higher risk of heart attack.
  • In people age 75 and older, a higher risk of dementia.
  • Trouble absorbing calcium and vitamin B12.
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Can PPI make GERD worse?

If a PPI is stopped, people who have been taking it may find they have even worse acid reflux than before. This happens because the PPIs are good at shutting down acid production.
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Can PPIs make gastritis worse?

Also, the use of PPIs among patients with H. pylori gastritis was shown to cause a change in the gastritis pattern, which shifted from antral- to corpus-predominant gastritis[7], as well as to an increased epithelial cell proliferation[8].
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What is the best alternative to omeprazole?

Alternatives to PPIs
  • Cimetidine (Tagamet)
  • Ranitidine (Zantac)
  • Nizatidine (Axid)
  • Famotidine (Pepcid)
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How can I get rid of acidity permanently?

Protect yourself from the damage of chronic inflammation.
  1. Eat sparingly and slowly. When the stomach is very full, there can be more reflux into the esophagus. ...
  2. Avoid certain foods. ...
  3. Don't drink carbonated beverages. ...
  4. Stay up after eating. ...
  5. Don't move too fast. ...
  6. Sleep on an incline. ...
  7. Lose weight if it's advised. ...
  8. If you smoke, quit.
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Can I take antacid and omeprazole together?

It may take several days before this medicine begins to relieve stomach pain. To help relieve this pain, antacids may be taken with omeprazole, unless your doctor tells you otherwise.
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Can you take omeprazole forever?

Keep in mind that omeprazole is only intended for short-term treatment of heartburn, GERD, and other gastrointestinal conditions. Long-term use is only advised for people with rare medical conditions that cause hypersecretion of stomach acid.
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What is a natural antacid?

Baking soda can quickly neutralize stomach acid and relieve indigestion, bloating, and gas after eating. For this remedy, add 1/2 teaspoon of baking soda to 4 ounces of warm water and drink. Sodium bicarbonate is generally safe and nontoxic.
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Why are Tums no longer available?

Product Availability: Due to high demand some TUMS items are in limited supply. We are doing everything we can to provide more of your favorite TUMS fast heartburn relief as quickly as possible.
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What is the best natural antacid?

Natural Remedies
  • Sodium bicarbonate (baking soda): baking soda is alkaline, and is generally safe to consume, which makes it a good candidate for neutralizing acidity. ...
  • Acids: this is an odd remedy, and typically involves consuming either apple cider vinegar or lemon juice to quell heartburn.
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How do you treat GERD without PPIs?

Regular exercise and stress reduction through relaxation can be helpful for decreasing GERD symptoms. Avoid exercise that can increase GERD symptoms: Exercising right after you eat increases your chance of developing GERD. Very strenuous exercise like cycling, running, and weight lifting can increase GERD.
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How do I get rid of PPI naturally?

Slowly taper off the PPI over 2-4 weeks (the higher the dose, the longer the taper). While the taper is being completed, use the following for bridge therapy to reduce the symptoms of rebound hyperacidity. Encourage regular aerobic exercise. Encourage a relaxation technique such as deep breathing.
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How do I strengthen my esophageal sphincter?

By lifting and holding the neck from a supine position for 60 seconds at a time, you create enough tension in the muscle associated with the upper esophageal sphincter that it can strengthen the valve.
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How long does it take for stomach acid to return to normal after stopping PPI?

Serum markers suggest that acid secretion one week following cessation of PPI treatment can be significantly increased above pre-treatment levels. This should return to normal within two weeks.
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What can I take daily for acid reflux?

The proton-pump inhibitors esomeprazole (Nexium 24HR), lansoprazole (Prevacid 24HR), and omeprazole (Prilosec OTC) are sold over-the-counter to treat frequent heartburn (two or more times per week) for 14 days.
...
Acid Reducers for Heartburn
  • Cimetidine (Tagamet HB)
  • Famotidine (Pepcid AC), Zantac 360.
  • Nizatidine.
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