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.