What is the best long-term acid reflux medicine?

To solve longer episodes of recurring heartburn, proton pump inhibitors (PPIs) are usually recommended. This last class of drugs, including brand names such as Nexium and Prilosec, is typically the most effective for frequent, ongoing heartburn.
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What is the best long-term GERD medication?

Proton pump inhibitors are accepted as the most effective initial and maintenance treatment for GERD. 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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What medicine can you take everyday 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. These types of medicines are also available as higher-strength prescriptions.
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Can you take GERD medication long-term?

Even after their symptoms have disappeared and the esophagus has healed, many patients need to continue taking their GERD medicine. “GERD is a relapsing disease,” says Dr. Esrailian. “To prevent recurrence and further damage to the esophagus, people may have to stay on the drugs for years, even for life.”
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How do you treat GERD forever?

Lifestyle and home remedies
  1. Maintain a healthy weight. ...
  2. Stop smoking. ...
  3. Elevate the head of your bed. ...
  4. Don't lie down after a meal. ...
  5. Eat food slowly and chew thoroughly. ...
  6. Avoid foods and drinks that trigger reflux. ...
  7. Avoid tight-fitting clothing.
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Say Goodbye to GERD (Seth Miller, MD)



Is it OK to take famotidine every day?

Do not take more than two tablets, capsules, or chewable tablets of over-the-counter famotidine in 24 hours and do not take over-the-counter famotidine for longer than 2 weeks unless your doctor tells you that you should.
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What can I take instead of omeprazole?

These include proton pump inhibitors such as esomeprazole (Nexium), omeprazole (Prilosec), pantoprazole (Protonix) and lansoprazole (Prevacid). The others are antacids such as Maalox, Mylanta and Tums; and H2 (histamine) receptor antagonists such as famotidine (Pepcid), and cimetidine (Tagamet).
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Which is better omeprazole or pantoprazole?

Pantoprazole and omeprazole have been shown to be effective for treating GERD. In a meta-analysis that pooled over 40 different studies, results found no significant differences in effectiveness between these PPIs. Pantoprazole was found to be equally as effective as omeprazole.
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Is famotidine safer than omeprazole?

Therefore, the safest acid reflux medicine is the one that works best for you with the least amount of side effects. When compared to famotidine, omeprazole may have an increased risk of adverse effects, such as osteoporosis, especially when used long term.
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Can you take omeprazole long term?

Taking omeprazole for more than a year may increase your chances of certain side effects, including: bone fractures. gut infections. vitamin B12 deficiency – symptoms include feeling very tired, a sore and red tongue, mouth ulcers and pins and needles.
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Can you take omeprazole every day?

You should not take it for more than 14 days or repeat a 14-day course more often than every 4 months unless directed by a doctor. Do not crush, break, or chew the tablet. This decreases how well Prilosec OTC works in the body.
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Which is better famotidine or pantoprazole?

Conclusions. In patients with aspirin-related peptic ulcers/erosions, high-dose famotidine therapy is inferior to pantoprazole in preventing recurrent dyspeptic or bleeding ulcers/erosions.
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Why was famotidine taken off the market?

Famotidine in Shortage Due to Heartburn Medication Recalls and COVID-19 Research. Since the beginning of the COVID-19 pandemic, drug shortages have grown both in hospitals and retail pharmacies.
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What is the safest acid reducer to take?

Best Overall: Prilosec OTC Delayed Release Acid Reducer

The dosing for Prilosec OTC is simple: you take one pill a day for 14 days, every four months (or up to three times per year).
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What are the side effects of long term use of famotidine?

Check with your doctor right away if you have the following symptoms: confusion, delirium, hallucinations, disorientation, agitation, seizures, or unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness. These are more likely to occur if you are older or if you have a kidney disease.
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How long should you take omeprazole 40 mg?

To treat gastric ulcers: Adults—40 milligrams (mg) once a day for 4 to 8 weeks. Children—Use and dose must be determined by your doctor.
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Is Protonix safer than omeprazole?

Omeprazole and pantoprazole are considered safe and equally effective. Both fall into a class of drugs called proton pump inhibitors (PPIs), which work by blocking acid production in the stomach (Strand, 2017).
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Which is better Protonix or Nexium?

Is Protonix or Nexium more effective? Clinical trials have shown that pantoprazole and esomeprazole are similarly effective. One clinical trial compared the effectiveness of 40 mg of pantoprazole to 40 mg of esomeprazole in patients with GERD.
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What are the dangers of taking omeprazole?

Common Prilosec side effects include headache, stomach pain and nausea. Long-term Prilosec use has been linked to kidney damage, bone fractures and other dangerous side effects.
...
Common side effects of Prilosec (omeprazole) may include:
  • Headache.
  • Nausea.
  • Vomiting.
  • Dizziness.
  • Stomach pain.
  • Constipation.
  • Diarrhea.
  • Gas.
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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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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 long can you take famotidine 40 mg?

Benign gastric ulcers - The recommended dose of 40 mg of famotidine to be taken at night. Treatment should continue for between 4-8 weeks unless earlier healing is revealed by endoscopy.
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What should you not take with famotidine?

Some affected products include atazanavir, dasatinib, delavirdine, certain azole antifungals (such as itraconazole, ketoconazole), levoketoconazole, pazopanib, among others. Do not take this medication with other products that contain famotidine or other H2 blockers (cimetidine, nizatidine, ranitidine).
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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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Can you take famotidine every night?

You may be prescribed famotidine to take twice a day, in the morning and evening, or just once daily in the evening.
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