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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is switching of Pepcid to otc PPI safe?

Answered by
Dr. Tayyab Malik


Practicing since :2009

Answered : 819 Questions

Posted on Wed, 7 Sep 2016 in GERD
Question: I have acid reflux, taking Pepcid 60mg bout 10 days , still uncomfortable, sometimes burning in throat area, lots of burping and sometimes burping up bile.. Is there a better medication than the one I'm taking?
Answered by Dr. Tayyab Malik 1 hour later
Brief Answer:
OTC proton pump inhibitor maybe taken; Endoscopy is recommended.

Detailed Answer:
thanks for posting query at HCM.
noticed your concern.

yes, you may switch from pepcid to OTC PPI (pantoprazole or esomeprazole). use the PPI for at least one month or as advised by treating physician.
Secondly,upper GI endoscopy is highly recommended in your case.

endosocpy is usually indicated if patient :
age is>55
and/or patient presents with any one or more of following:
weight loss
melena (black stool) or blood vomiting

furthermore; diet modification is advised.
1. low fat diet
2. add plain yogurt to meals
3. less salt intake
4. avoid alcohol and junk food
5. eat dinner at least 2 to 3 hours before going to bed

hope to answer your concern.
any further questions are welcomed
dr Tayyab Malik
Above answer was peer-reviewed by : Dr. Yogesh D

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