Question: Is it safe to treat reflux with Pepcid or other over-the-counter treatments? I’ve been taking it for 15 years and haven’t had a problem, but my doctor says it would be better to take a prescription medicine that costs three times as much.
Dr. Hibberd's answer:
Pepcid and other H2 blockers are just fine for most with mild reflux. It’s true that the newer agents are more convenient, but cost does prevent many from using them.
In the absence of a larger problem, such as Barrett’s esophagus or swallowing disorders, mild reflux can be managed conservatively with preventive measures and as-needed medications.
But if you are taking daily medication or have increasing complaints, you should consult with a gastro-enterologist. Some patients may even be candidates for minimally invasive procedures that can cure reflux, especially when they have advancing or persistent symptoms despite medication. Weight management can also help.
Just be sure this is reflux, and a symptom of a deeper problem, including heart disease.
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