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Old 06-01-2006, 09:58 AM   #1
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PPI: What works, what doesn't?

I'd like to know what PPI/H2 therapy has been effective and not effective for you. It will be very helpful to have one thread where we can objectively see which drugs have been the most useful. Please provide the following information:

1. Your condition: GERD or LPR

2. Drug therapy that works: Name of medication, and dosage schedule (1x or two times per day, taken together, or separated into morning/night dosages).
How effective is the drug therapy at relieving your sympotms? How long have you been on the effective drug therapy? How long did it take for this drug to relieve your symptoms?

3. Drug therapies that have not worked for you, including dosages.

I'll start:

1. I have LPR (really really bad before meds). My worst problem was a severe, unrelenting chronic cough. I reflux during the day when I am upright and the symptoms stop when I am lying down at night.

2. Nexium is very effective for me. I take 2 doses a day (40 mg per dose). I take the 2 doses together, first thing in the morning. I have tried separating the doses (1 at night 1 in the morning) and my symptoms come back. I give Nexium an A+ for effectiveness - it relieves about 95% of my symptoms. I get some breakthrough symptoms when I eat baddie foods or do stomach crunches. I've been on the Nexium regimen for 4 years and it still works incredibly well. I first started taking Nexium at the 1 pill a day level 4 1/2 years ago for 6 months, and it did not relieve any symptoms at this dosage level. On the very day I started taking 2 pills together 4 years ago, my symptoms cleared up in 30 minutes - almost instant recovery.

3. After already being treated successfully with Nexium, I experimented with the (significantly cheaper) Prilosec. All my symptoms returned within 45 days, even after increasing the dosage to 4 pills a day. I also tried Protonix 2x per day, and about 75% of my symptoms came back. I switched back to Nexium after that.

 
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Old 06-01-2006, 07:28 PM   #2
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taape HB Usertaape HB User
Re: PPI Survey: What works, what doesn't.

My Condition: Still Undiagnosed - possible stomach ulcer

Drug Therapy: Aciphex and Protonix
Both worked the same to relieve the burning. Also stopping medication that was irritating whatever inside. Then the medications started helping. in about 2 weeks. Can't stand the night mares though

Drug Therapies that didn't work: The over the counter Zantac didn't work as well as the PPI's. I stopped taking PPI's for a few days and the burning returned with nausea.

 
Old 07-26-2006, 10:53 AM   #3
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Re: PPI Survey: What works, what doesn't.

After suffering for over 3 years with shortness of breath, hoarseness, breathing discomfort, chest pain, cough, and various other symptoms, and after seeing 2 pulmonologists, a cardiologist, and an ENT, who couldn't figure out what was wrong (one of them told me to go see a psychiatrist), I finally figured out that I have LPRD. Thank goodness for Google!

I have been on Omeprazole (Prilosec) for 2 months. I've been taking 20mg one hour before breakfast and 20mg one hour before dinner. Most of my symptoms are gone now, but I still get what I call "breakthrough" reflux sometimes, and I still have a sore throat. I'm a singer, and the sore throat is a real problem.

After reading Aswander's postings, I've decided to try taking 40 mg once a day instead. If that doesn't help, I will switch to Nexium.

I would like to thank Aswander for her excellent postings. This group is lucky to have her. She knows what she's talking about.

 
Old 07-26-2006, 11:15 AM   #4
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Re: PPI Survey: What works, what doesn't.

been diagnosed with GERD and a hiatal hernia. in the process of test for LPR. the top of my esophagus is swollen along with an enlarged thyroid so swallowing is a challenge. tried them all : nexium, prilosec, zantac (when it was still prescription) carafate. have taken prevacid for years. usually one a day but now that something is acting up dr. told me to start 2 a day. have had some relief withing days.

 
Old 07-26-2006, 12:48 PM   #5
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Re: PPI Survey: What works, what doesn't.

1) GERD

2) I take Prevacid (30mg) once a day. On occassions when my heartburn is really bad I bump it up to twice a day.

3) Nexium worked a little for me but not as good as Prevacid. OTC meds didn't put much of a dent in my problem at all.

 
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Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Aciphex
Nexium
Omeprazole
Pepcid
Prevacid
  Prilosec
Protonix
Ranitidine
Reglan
Zantac


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