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#1 summer

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Posted 14 July 2007 - 10:41 PM

It's me again and full of questions again!
I only recently have experienced severe reflux, I had it for only one week and my doctor prescribed me Nexium. I was on the maximum of 80mg a day and still it was really bad. I think I got it after experiencing a bad reaction to a med that I was on at the time. I have not experienced any reflux since, but it has been hanging around from time to time.
My question is should I still take Nexium all of the time regardless of how I feel, or should I wait until the reflux appears ( it changes from day to day or week to week) and only then take it.
I am reluctant to take anything if I feel ok.
Best wishes
Celia :huh:

#2 jefa

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Posted 14 July 2007 - 11:03 PM

Hi, Celia. Good question. The advice I always give is to make ANY changes in prescribed meds in concert with the doctor who prescribed them. That said, my doctor helped me experiment with the amount of my own proton pump inhibitor. He first reduced the amount by half, leaving only the morning dose. This brought about no change. Then we tried a few days with none and the symptoms returned with a vengeance. We put back the morning capsule which gave us the optimum dosage for my case. Remember that ALL of your personal factors must be taken into consideration and you and your doctor as a team are best prepared to work this out. Good luck.
Warm wishes,
Jefa

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#3 Sam

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Posted 15 July 2007 - 09:52 AM

Take it every day regardless how you feel. When I dont I know it right away!!! I take nexuim twice a day= 80mg. Sam
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#4 Clementine

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Posted 15 July 2007 - 12:30 PM

Hi there,
Just thought I'd tell you what I take for heartburn. I take one 40mg of Nexium in the morning and two Zantac (don't know the mg but probably the lowest dose) at night. I was originally on just Nexium but I had some esophagus erosions and a hernia, along with mild heartburn (despite the Nexium), so the DR added Zantac. I got lucky...it is working for me. Good luck!
Jen

#5 Sheryl

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Posted 15 July 2007 - 01:36 PM

Celia, If you don't want to take the amount prescribed then the best bet would be to take your Nexium one hour before your largest meal of the day. That meal is usually bigger portions and more variety or spicy. You want that meal to be covered with the Nexium. It is usually good for about 6 hours after you have taken it. Your meal should be digested and have less chances of coming back at you with strong acids coming up your esophagus.
Jennifer, I am glad the zantac is working for you. That is usually prescribed before stronger doses or more doses of Nexium are given. Because of our insurance companies. The ask the doctors to give zantac as a first step. If it doesn't work you are to tell your doctor and he will make sure you get the amount that works for you. I tried the zantac several years ago and again this past year. It didn't phase my problems. I take 40mg of Nexium usually 4 times daily. I have been trying to cut back to 3 most days. I also take Reglan 4 times daily. I think it is better to take the medicines than to take a chance of severe damage to your esophagus. If its damaged its harder to repair. No heartburn or acid reflux would be awesome. I could eat all my favorite foods any time I wanted. Yumm! Sheryl
Strength and Warmth,
Sheryl

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#6 WestCoast1

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Posted 15 July 2007 - 07:20 PM

Hi there Celia,
I think that everyone has given you some really solid advice. I happen to take a little siesta with the reflux meds when I havnt experienced symptoms for about a month. My doctor doesn't seem to be upset by this, so I guess that its okay for me. When the reflux returns, (and it always does), I go right back on it.

I hope that you find something that works well for you.
*WestCoast*

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#7 peanut

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Posted 15 July 2007 - 10:42 PM

Hey Celia,
My doctor said take nexium 40 an hour before food and when I first started I could also add zantac/tums for the first few days. I also take another nexium between lunch/dinner or after dinner depending on how I feel. I take nexium the same time every morning 7 days a week and I think it might be a good idea at least until your heart burn is under control, but that's just me...

I also bought a pillow that elevates your head when you sleep.

good luck

peanut

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my HMO makes me wear a helmet...

#8 Lynda

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Posted 16 July 2007 - 12:49 AM

Hi Celia,
I have suffered reflux for 15 years now. I take Pantoloc 40 mg once a day. Really helps to prevent reflux. Preventing reflux is smart since the stomach acids can damage the esophogus, like scarring and lesions. But check with your doctor.
Lynda