Hello all ..
To summarize my story: I get side effects on PPIs and H2-blockers (different kinds of side effects) - so have been managing my GERD without them for the last year or so. My GERD is not severe but continues to bother me off and on during the day. I've tried various natural means and am looking into TIF/Nissen as options to address my symptoms. I've postponed my TIF to after summer when I'll have more control over my diet (too many activities with kids+relatives scheduled during the summer).
So, I've been experimenting with the PPIs again (Aciphex 20mg/day for the last 10 days or so) - definitely helps with my GERD symptoms but does not quite resolve the symptoms fully. This time, surprisingly, the side effects are barely noticeable (last year - and even a few months back, 5 days on this dosage of aciphex would get pain and tingling going all over my body). Aciphex used to be the best in terms of side effects (least side effects) - which is why I've started with aciphex now.
Since my GERD symptoms are getting better on 20mgs/day Aciphex - but not quite getting fully resolved I am going to extend this experiment (btw - I am aware of getting dependent on the meds and the rebound etc. - however, since I am going to go for TIF in the fall anyway, I am not too worried about
the dependency at this point - I just want to be able to manage my symptoms through the summer):
So, my options at this time are:
- Up the dosage of Aciphex to 40mg/day:
- 40mg/in the AM or
- 20mg/AM + 20mg/PM
- Try other PPIs which might help me more than aciphex. However, I am wary that these may get more side effects - and more importantly may trigger the same side effects and even with the aciphex possibly.
I am quite surprised to see that 20mg/day aciphex has not bothered me as much as it used to, so I am getting tempted to try the other PPIs - which used to help me much more for my GERD symptoms but would also cause more side effects. I have a stash of Prilosec, Nexium, Prevacid, Protonix etc. all sitting nicely in my medicine cabinet - so I have access to the full variety of the pharma arsenal :)
I just wanted to write this - to see if you all have any recommendation on what I should try next.
At this time, I am going to extend the experiment by adding another dose of 20mg of Aciphex in the PM to start with.
Post Edited (PPI-LESS) : 7/22/2012 4:26:02 PM (GMT-6)