PPIs are linked to pneumonia and C. Quitting heartburn drugs can be difficult because you might get rebound symptoms. They cause your stomach to produce less acid, and stopping suddenly can cause it to overproduce acid.
Self-medicating with over-the-counter heartburn drugs can mask underlying health problems. Frequent burning or pain in the upper abdomen or chest can signal an ulcer or even esophageal cancer.
Some people mistake pain from gallstones or heart disease for heartburn. So before starting any heartburn drug, see a doctor to rule out other health issues. All proton pump inhibitors are equally effective and safe. So if you need a PPI, choose by price. Where you shop matters, too. This article also appeared in the April issue of Consumer Reports on Health.
Get Ratings on the go and compare while you shop. How often do you have symptoms? Ghouri, and there may be side effects. Antacids containing calcium carbonate like TUMS, Pepto Bismol, and some proton pump inhibitors can cause constipation. Talk to your doctor if you think your antacid is making it more difficult for you to have regular bowel movements. Proton pump inhibitors, in particular, work best when taken before a meal. Chewable antacids, like TUMS, can definitely be taken after eating if you end up with an unexpectedly upset stomach.
They can work quickly to relieve symptoms, but you might have better effects from taking them before a meal, too. This is not a fast acting medication and needs to be in your system for at least six to eight weeks before seeing the full effect.
Sarah Bradley has been writing health content since —everything from product roundups and illness FAQs to nutrition explainers and the dish on diet trends. She knows how important it is to receive trustworthy and expert-approved advice about over-the-counter products that manage everyday health conditions, from GI issues and allergies to chronic headaches and joint pain.
Get nutrition tips and advice to make healthy eating easier. The safety of long-term daily usage of a proton pump inhibitor: a literature review. Calcium carbonate. Meta-analysis of the effectiveness of esomeprazole in gastroesophageal reflux disease and Helicobacter pylori infection.
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Sarah Bradley. Learn about our editorial process. Our Top Picks. Omeprazole also interacts with some antiretroviral medications, which can lead to a decrease in their effectiveness.
These drugs may include tacrolimus and rifampin, among other drugs. Omeprazole can interact with warfarin and increase the risk of abnormal bleeding.
Taking omeprazole with an immunosuppressant called methotrexate can lead to methotrexate toxicity. This may not be a complete list of all possible drug interactions. Consult a doctor with all the medications you may be taking.
Severe GERD symptoms or ulcers may be a sign of gastrointestinal cancer in some people. Famotidine should be used with caution in elderly people or those with kidney problems. Famotidine use can lead to an increased risk of CNS central nervous system adverse effects such as confusion, delirium, and hallucinations.
Omeprazole tends to have more warnings and precautions associated with it compared to famotidine. Unlike famotidine, omeprazole and other PPIs can increase the risk of osteoporosis and bone fractures when used long term.
Omeprazole use, especially in a hospital setting, may lead to an increased risk of Clostridium difficile related diarrhea. One study found that proton pump inhibitors are associated with more risks of serious adverse effects like pneumonia and C.
The study took data from 71 hospitals and assessed PPI and H2-blocker use in a specific population of patients. Famotidine is an H2 blocker medication that is used to treat GERD, duodenal ulcers, and stomach ulcers. It is also FDA-approved to treat hypersecretory conditions like Zollinger-Ellison syndrome in adults. Famotidine is the generic form of Pepcid and is usually taken twice daily. It is also used to treat H.
It is often taken once daily for four to eight weeks. Famotidine and omeprazole are not the same. Although they treat similar gastrointestinal problems, they are different drugs. Famotidine is an H2 blocker and omeprazole is a PPI. Omeprazole is considered a more effective drug when compared to famotidine. Omeprazole lasts longer in the body with effects that increase after taking it every day.
This cumulative effect is not seen with famotidine. However, omeprazole may have more adverse effects associated with its use. Famotidine may have less risk of causing harm during pregnancy compared to omeprazole. Consult your healthcare provider when choosing a treatment option while pregnant or breastfeeding. To find out which medicine is right for you, talk to your family doctor.
He or she can tell you about the benefits and risks. Antacids and acid reducers rarely cause side effects. If they do, the side effects usually are minor and go away on their own. These may include headaches, nausea, constipation, or diarrhea. Talk to your doctor before taking antacids if you have kidney disease. You should avoid any antacid that contains calcium carbonate or aluminum hydroxide and magnesium carbonate unless your doctor recommends it. If you are over the age of 55 and require long-term PPI treatment, your doctor may refer you for an EGD esophagogastroduodenoscopy.
This procedure examines the lining of the esophagus, stomach, and upper small intestine. If you have significant reflux, your doctor also may test you for the bacteria H. Store all medicines up and away, out of reach and sight of young children. Keep medicines in a cool, dry place. This helps prevent them from becoming less effective before they expire.
Do not store medicines in bathrooms, which often are hot and humid. Let your doctor know how the OTC medicines work for you. If your symptoms do not improve or get worse, the doctor may suggest a prescription medicine. If possible, try not to take PPIs long-term.
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