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Acid Reflux Treatment

You have chosen "step-down" drug treatment for GERD. This is an excellent choice.

For step-down treatment, you will start your treatment with one of the most potent medicines for GERD.

Step 3: Drugs for GERD

Acid blockers of high potency

Medications called "Proton pump inhibitors" are able to powerfully reduce the quantity of acid that the stomach produces, especially when they are taken in high doses. Examples include omeprazole (Prilosec OTC, Prilosec, or generic omeprazole), esomeprazole (Nexium), lansoprazole (Prevacid), pantoprazole (Protonix), and rabeprazole (Aciphex).

Some Step 3 medicines are available over-the-counter and others are available by prescription. They prevent symptoms, so they are ideal for people who have daily or persistent symptoms. They work too gradually to be used for as-needed treatment. These medicines can take up to two months to have their full benefit, although most people get relief more quickly.

Use Step 3 drugs either daily or twice daily depending on your need. If you have good relief of your symptoms on Step 3 drugs, or if you assume that you will, you may want to review less intensive treatments.

Step me down to view a less intensive treatment!

Less potent drugs don't work for me, but Step 3 drugs do help.

Are there any more steps? I don't have relief on a Step 3 drug.

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Online Medical Reviewer: Faculty of Harvard Medical School
Date Last Reviewed: 8/18/2006
Date Last Modified: 8/7/2006

Source: from Harvard Health Decision Guides, Harvard Health Publications, Copyright © 2007 by President and Fellows of Harvard College. All rights reserved. Used with permission of StayWell.
 
 
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Symptom Checker content copyright © 2006 by President and Fellows of Harvard College. All rights reserved. Used with permission of StayWell. Use of content is subject to Terms & Conditions and Medical Disclaimer. More information on Harvard Medical School's publications and services is available at http://www.health.harvard.edu.

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