What next when 2x PPI doesn't work?

[warrenpoint]

It would be your choice personally to take the vinegar with the meds but that way you would not know which one was curing the Gerd. I personally was taking Nexium, pirolosec etc., and nothing was helping and as a last resort I thought I would try the vinegar. I tried regular apple cider vinegar from the grocery store and that burned, but then I read on a site to try RAW apple cider vinegar. I went to a nutritional store and bought the raw apple cider vinegar and that was about 6 weeks ago and I do not have any heartburn at night since taking this vinegar. I have given it to other family members who have had this problem and it has worked for them too. I have great faith in it but I recommend you start slowly and take about a tsp in 4oz. water twice a day and see if it helps. Good luck and let us know it it has helped.

[jennyVee]

Hi just make sure to brush your teeth after using the apple vingear since it can destroy the tooth enamel and also the gums.

[blondy2061h]

I am on Prevacid 30 mg twice a day. You didn't mention your Prilosec dose. If it is at 20mg twice a day, you can go up to 40mg twice a day. If that doesn't work you can add a variety of drugs, such as zantac, pepcid, or carafate. These drugs are then all pushed to their max. I have been on 800mg Zantac a day, and 10cc carafate four times a day. After that, a propulsid such as reglan can be added. I was on Reglan four times a day at 10mg. After that sometimes an antiemetic can be added. I have used compazine and phenergan in this class of drugs. Occasionally after that surgery is persued, though some doctors, such as mine, will flat out not do the surgery, since there have been studies that show less than 10% of the people who have it done are still off drugs a year later, the recovery is tough, and there is evidence that if drugs don't work, surgery won't either.

[gnznroses]

i have been on 2x prilosec/nexium/and that other one i can't recall the name of, plus frequent ranitidine or cimetidine (fraction of the cost of zantac, same thing) plus carafate, plus tums, plus gaviscon. didn't help. i've recently ran out of the nexium and carafate and there's little difference. some maybe, but i can't say for sure. the biggest impact anything has is diet, cutting out tomato and all the bad stuff, but i still suffer gerd and lpr. the surgeries all suck, but when my ph tests claim i don't have any reflux to start with, it's not an option anyways...

[aswander]

If you have LPR, do not pay any attention to those espousing vinegar cures. It won't work for you. The main problem is that your doctor is prescribing the less effective PPI. For LPR, Nexium typically has the most success - read all the posts on this board, just search for 'Nexium" and "LPR". Take 2 Nexium simultaneously every morning - if this doesn't work, you might want to try taking 2 Protonix, another PPI. Try all the PPIs until you find one that works. If none work, then consider the surgery, but only as a last resort.