I have Barrett's Syndrome. Recently my prescription provider, Tricare, made Nexium the drug of choice. It will be to my financial advantage to change to Nexium. However, When I called Nexium , they finally admitted that Nexium wasn't a prescribed drug for my condition.
I presently take Protonix 40mg twice daily. I have used it over a seven year period.
Another drug approved by my provider is Prilosec 20mg twice daily..
I recently have my tri-annual Endoscopy and no evidence was found as to bad effects of Protronix
Is it advisable to move to the newer accepted drugs or should I stay with Protonix, which will rise considerable in cost?
My Doctor gave me a prescription for Prilosec. While I trust him fully, I do not have the confidence in the Drug companies, especially when they hesitate to answer a reasonable question and rely on "ask your Dr."
Please give me your view. I make it a habit to ask questions and do research when it may affect my health
There is no data that suggests a significant difference between Protonix and Nexium.
Nexium is an appropriate appoach to Barrett's esophagus. Prilosec and Nexium are also very similar. Prilosec has a cost advantage of having a generic equivalent.
These questions can be addressed with your personal physician or GI 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.
Just so you know Dr. Pho, Nexium is on tier one for patients with tricare (such as the patient above). This means that Nexium will cost him $3/month, the same as omeprazole. So Prilosec would not have the cost advantage.
As an additional fyi, there are quite a few studies showing Nexium's superiority within acid control and the healing of erosive esophagitis vs. Protonix, Prevacid, and Aciphex (see Miner, Castell, Lauritsen, Lind).. in fact, Protonix proves to be the LEAST effective in these arenas.
Nexium is not only an appropriate choice for someone with Barret's, but the BEST choice and the least expensive option for the patient above.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.