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Gastroenterology (Expert Forum)

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Protonix or Prilosec and GERD

Answered by

Kevin Pho, MD - Internal Medicine

Kevin Pho, MD Boston - MA

This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

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MedHelp Member's Question

Protonix or Prilosec and GERD

by jaepark3000, Dec 03, 2003 12:00AM

Tags: prilosec, gerd, Gastroenterology, esophagus, Work, years

I have been coughing for about 7 years now. Last March after several tests, the doctor prescribed me Protonix. After 3 months of use, the coughing was drastically reduced. But after the prescription ran out, the coughing started up again. So I assume I have GERD or some other stomach acid issue? I haven't had my esophagus checked out for damage caused in the 7 years. Now I am hearing about Prilosec. Will this medication have the same effect as Protonix? Since it says it should only be used for 14 days every 4 months, could it be something more serious than GERD?

Doctor's Answer

by Kevin Pho, MD

, Dec 04, 2003 12:00AM

Prilosec and Protonix are in the same class of medication and thus should have the same effect.

If you are having long-standing GERD, it may be wise to consider an upper endoscopy to make sure that inflammation of the stomach or esophagus or Barret's esophagus isn't present.

Regarding taking the medication for longer than 14 days, that is something that should be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,

Kevin, M.D.

Member Comments (6)

by Xdortiz32, Dec 03, 2003 12:00AM

Have you try ask your doctor about PREVACID?? maybe you should

by tessa0825, Dec 03, 2003 12:00AM

Don't downplay the seriousness of GERD..The reason the OTC PPIs advise to only take for 14 days is because if your symptoms persist for longer than that, you need a medical evaluation..If you have had these problems for 7 yrs then I would think a workup by way of EGD would be more beneficial than just trying to treat the symptoms...A 24 hr PH probe test would also evaluate for reflux....

by GI.PA, Dec 03, 2003 12:00AM

Prilosec and Protonix are in the same drug class and should have the same effects. Only your personal physician can guide you as to taking them longer that 14 days.

GI.PA

by TJV, Dec 06, 2003 12:00AM

Anyone with gerd will tell you that some ppis work better than others in individuals-- they most definately don't have the same effects- different inactive ingrediants--metabolized differently- longer and shorter half lifes etc.

There is always one PPI that works better in others- some cause side effects where others don't- different bases- etc.

by Gayann, Dec 11, 2003 12:00AM

I just came out of a week in intensive care for a gastric ulcer. It was located near the hiatel hernia wrap that I had done in 1996. I have now been prescribed Protonix. How has this been working for people? Have you altered your diet?

by tessa0825, Dec 12, 2003 12:00AM

Everyone with GERD and/or related problems should make dietary changes...We shouldn't have any caffeine, chocolate, citrus fruits, carbonated beverages, fried foods, mints, pepper,aspirins, if I eat something and it bothers me then I leave it alone....The PPIs are good but this is an illness that we have to do our share of the work or we may not get better...

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