Commonly, these medicines are taken 30 minutes before the first meal of the day. You can buy some brands of PPIs at the store without a prescription. Talk to your health care provider if you find you have to take these medicines on most days. Some people who have acid reflux may need to take PPIs every day.
Ask your doctor if you have any questions. Take omeprazole capsules or delayed-release capsules before a meal, preferably in the morning. Omeprazole tablets may be taken with food or on an empty stomach. Take omeprazole powder for oral suspension on an empty stomach at least 1 hour before a meal.
Pantoprazole can be taken before or after food, although taking it before food is preferable. Proton pump inhibitors can take up to 24 hours to have an effect on the acid in your stomach and heartburn symptoms, so that is why it is important to take them every morning as directed.
Omeprazole and Lansoprazole are in a class of drugs commonly known as prescription antacids, but technically they are known as 'Proton Pump Inhibitors' or PPI's, for their effects on the acid generating 'proton pumps' of the stomach. While there is no doubt that Acid Reflux Medication such as: Omeprazole.
If your symptoms do not improve within a few days, you should talk to your doctor about this. Swallow the tablets with a drink of water. Do not chew, crush or break the tablet before you swallow. Pantoprazole can be taken before or after food, although taking it before food is preferable.
Other recent studies have linked PPIs to a range of potential health risks including kidney disease, stomach infections, heart disease, pneumonia, bone fractures, and dementia. Popular brand-name PPI medications include Prilosec, Nexium, Prevacid and others sold over-the-counter or by prescription.
Drink a full glass of water after taking either the regular or chewable tablets or capsules. Some liquid forms of calcium carbonate must be shaken well before use. Do not take Tums as an antacid for more than two weeks without talking to your doctor first.
Available proton pump inhibitors include:
- omeprazole (Prilosec, Prilosec OTC)
- aspirin and omeprazole (Yosprala)
- lansoprazole (Prevacid, Prevacid IV, Prevacid 24-Hour)
- dexlansoprazole (Dexilent, Dexilent Solutab)
- rabeprazole (Aciphex, Aciphex Sprinkle)
- pantoprazole (Protonix)
Despite their ease of availability and common use, PPIs can have severe side effects. The long-term consequences of chronic PPI use include the potential increased risk of hypocalcemia, hypomagnesemia, Clostridium difficile infections, and pneumonia.
Heartburn foods to avoid:
- Foods that are fried, sautéed, or prepared in butter or oil.
- High-fat side dishes such as onion rings or French fries.
- High-fat sauces, gravies, and salad dressings.
- Tomato-based foods and juices.
- Caffeinated beverages such as cola and iced tea.
- Citrus drinks such as lemonade or orange juice.
There are side effects from taking too many antacids. The least important side effects are constipation (aluminum-containing antacids) or diarrhea (magnesium-containing antacids. The accumulated aluminum may be toxic. Having said all this, occasional use, even daily use, of antacids generally is safe.
Pepcid Overdose. Do not take more prescription Pepcid than recommended. Oral doses of up to 640 mg a day have reportedly been given to adults with conditions involving excess stomach acid with no serious problems. However, you should stick with the doses your doctor recommends.
Treating people with reflux may help prevent Barrett's esophagus and esophageal cancer. Often, reflux is treated using drugs called proton pump inhibitors (PPIs), such as omeprazole (Prilosec®), lansoprazole (Prevacid®), or esomeprazole (Nexium®). If you have chronic heartburn (or reflux), tell your doctor.
Take antacids about 1 hour after eating or when you have heartburn. If you are taking them for symptoms at night, DO NOT take them with food. Antacids cannot treat more serious problems, such as appendicitis, a stomach ulcer, gallstones, or bowel problems.
However, PPIs don't work as well at night. Ranitidine (Zantac) is a H2-receptor-blocker. Generally H2-receptor-blockers are not as effective as the PPI drugs in suppressing stomach acid production. However, Zantac and other H2-receptor blockers work particularly well at night.
Take each dose with a full glass (8 ounces) of water. Esomeprazole should be taken at least one hour before a meal. Do not crush, chew, break, or open a delayed-release capsule. Swallow it whole.
There are 3 types of heartburn medication: antacids such as Maalox, Mylanta, and Tums; H2 (histamine) receptor antagonists such as ranitidine (Zantac), famotidine (Pepcid), and cimetidine (Tagamet); and proton pump inhibitors (PPIs) such as omeprazole (Prilosec), pantoprazole (Protonix), lansoprazole (Prevacid),
They were followed by the proton-pump inhibitors, or PPIs, which include esomeprazole (Nexium), lansoprazole (Prevacid), and omeprazole (Prilosec). The PPIs are increasingly the acid reducers of choice because they're far more effective than the H2 blockers.
Simple heartburn can be relieved with antacids or other less powerful drugs. This kind of heartburn is uncomfortable, but it is not serious. You don't need a PPI. You can usually get relief from an antacid, like Rolaids or Tums, or an H2 blocker, such as Pepcid AC or Zantac.
Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Prilosec OTC (over-the-counter) should be taken only once every 24 hours for 14 days. Take the medicine in the morning before you eat breakfast.
Updated: 2nd October 2019