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?
Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Methotrexate, nexium, tramadol, nasonex,Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan, zyrtec, zegerid, aciphex