Boy, I can sure sympathize with your situation. I also have terrible Gerd, that is currently being well controlled with nexium and zantac 150. But I'm not taking prednisone. I'm sure if I were on prednisone, my GERD would also be completely out of control. When I was on other medications that increased the severity of GERD, however, this is what I did. I remained on my regular regiment of a PPI twice a day (once in the morning and once at night), I took 300 mg of zantac every night before laying down. I refrained from eating after dinner, although I did continue to drink liquids. I avoided alcohol at all costs because alcohol is a huge trigger for me. I treated breakthrough acid with tums, even though the package insert on the PPIs states that tums can make the PPI less effective. I asked a GI doctor about that, and he said it was simply not true. Oh, I also slept with the head of my bed elevated. It was a miserable time for me, as I'm sure it is for you as well. Any chance, your doctor can decrease your prednisone? Or can you increase the dosage of your PPI?
Hey rtrn, I'm going thru that right now myself. I have had severe reflux this last month that is has actually induced asthma. Once anything passes my lips, I can't breathe. It is awful! I have a referral to a gastro that I hope to see in the near future. I just stopped Arava last week and hope that my stomach will start to calm down (if that in fact has been part of the problem).
In the meantime, I've been on Nexium 40mg for a few years (maximum dose and up to now, I've had no issues long as I take it) and the nurse told me last week to take 150mg of Zantac 'as needed' though the box says twice a day. I take it around lunch and dinner time....I tried not to take it twice, but soon as I laid down, I was up all night. So, now I'm trying to just take it around dinner so it's in my system by bed time. FYI, I called again and doubled checked how many times I can really take it 'as needed' since there are days I feel I may need a third...nurse said "up to 4 for 12 weeks" when curing a particular problem. . . . I would check with your doctor first.