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Acid Reflux / GERD Message Board
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Old 12-20-2012, 08:51 PM   #1
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Substitute for 40 mg of NEXIUM??

I have been on 20mg/daily of Aciphex for about 6 years for diagnosed GERD....it now seems to not work as well as it did in the past. .... My Doctor gave me some samples of NEXIUM (40mg) and it seems to work quite well.

..#1:..My question is: Since I pay for my perscriptions out of my own pocket.........what Generic Substitute would be appropriate? I cannot afford the $6.00 per pill for Nexium and it is my understanding that there is: " no Generic substitute for brand name NEXIUM at the present time."

...#2:..I am 80 yr old .......is there any monetary help available from the makers of NEXIUM for seniors on limited income??

...#3:.......What about Omeprazole???? in what dosage: 20mg or 40 mg/ daily?
...#4:.......What about Esomeprazole????...In what dosage: 20mg or 40 mg/daily?

...#5:...What is the difference between: PRILOSEC vs PRILOSEC OTC vs OMEPRAZOLE vs ESMOEPRAZOLE?

...#6:...I have heard that PRILOSEC OTC is a "weaker" version of perscription "OMEPRAZOLE"........Is this correct..?

Thanks for some clarification and comments on my situation.

 
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Old 12-23-2012, 10:12 PM   #2
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Re: Substitute for 40 mg of NEXIUM??

I just posted on another thread which you might read. I found out from my Pharmacist...and my GI confirmed that 80 mg of Omeprazole is the EXACT same thing as 40 mg of Nexium!!! Ask your Pharamcist and see if they will tell you. (figuring the doctors are getting kick backs and won't tell you). I filled my prescription from May-November before a person noticed my $207/month bill and told me where I can save money. At Costco it's $ .35/pill of 20 mg, so to equal 40 mg of Nexium it will be $1.40/day. THIS IS A HUGE DIFFERENCE!!! I joked to people I couldn't even drop a pill on the ground accidentally for that rate.

 
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Old 12-26-2012, 10:46 AM   #3
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Re: Substitute for 40 mg of NEXIUM??

Welcome to the boards Montana Griz. Omeoprazole is the generic version for Prilozec and it costs pennies per pill. It is by prescription only so your doctor will prescribe what he/she feels is the right dosage for you. It works on 87% of people with GERD or reflux where Nexium works on 91% of people. As to Nexium, AstraZeneca offers three plans to assist patients: People without insurance, Medicare Part D, and Healthcare facilities. Check out their website for more information.
Another option that you have is to call your doctor (that prescribed Nexium) and ask for more free samples. They will check that you were prescribed Nexium and will give you more samples for free. Nexium is pushed hard by the manufacturer so doctors have a lot of free samples, especially GI doctors. I used to take a medicine that is expensive but my doctor would give me a month’s supply for free every month.
Regarding OTC Prilozec and Omeoprazole; with the dosage being equal, the main difference is the salts that are used to make the medicine. It is advisable to take PPIs one hour before eating a meal due to the fact that acid is strongest after eating. Some people find it more effective to take 20mg of Prilozec twice a day while others are OK with taking 40mg once a day.
You may also want to look into natural remedies for GERD. Unpasteurized Apple Cider Vinegar is great at balancing the ph in your stomach and it is known to lessen acid related problems. DGL (especially German chocolate flavored) is also good at dealing with stomach problems. Aloe Vera juice helps heal inflammation of the esophagus and stomach. Beet juice is also another remedy but it will make your urine reddish (which scares some people) and will lower your blood pressure by 6 points or so.

 
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