PEPCID COMPLETE contains both an antacid (calcium carbonate) and an H2 blocker (famotidine). Without this research, we cant say that one H2 blocker is better than another for treating heartburn or GERD. This causes the stomach to make less acid, which relieves symptoms of heartburn and GERD. The incidence of these severe side effects is generally low and requires long-term use of these medications, explains Dr. Ghouri. Common types of medications to treat heartburn and gastroesophageal reflux disease (GERD) are antacids, histamine-2 antagonists (H2 blockers), and proton pump inhibitors (PPIs). Taking those medications as needed works well to relieve symptoms when they start. Timing for these medications will often depend on which type of antacid you are taking. But, it is important to remember that while Nexium can help relieve symptoms for those who suffer from GERD, it is also imperative to implement diet and lifestyle changes to manage the disease in the long term. These over-the counter (OTC) medications are often the first medications people try in order to relieve heartburn. Content is reviewed before publication and upon substantial updates. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. doi:10.7759/cureus.5563, Voropaiev M, Nock D. Onset of acid-neutralizing action of a calcium/magnesium carbonate-based antacid using an artificial stomach model: an in vitro evaluation. All Gaviscon+ antacid products are doctor-recommended and contain acid neutralizing ingredients. All rights reserved. If youre used accustomed to taking an antacid when symptoms strike, youll want to note the different dosage instructions for Prilosec since they are best for people with chronic symptoms. Fact checkers review articles for factual accuracy, relevance, and timeliness. Magnesium is an ingredient found in many different acid reflux medications. There are three main types of heartburn medications that you can get without a prescription2: Starts to neutralize acid on contact Starts to relieve heartburn in 15-30 minutes. Throughout our research, we compared the antacid's benefits to its symptom relief and price tag. Talk to your healthcare provider to see if you need a prescription for a higher dose. These ingredients work together to help stop heartburn on multiple levels. Its important to mention that a direct link between PPIs and many of these severe side effects has not been fully established. You can continue to use the TUMS as needed until the symptoms cease. Apple Cider Vinegar for GERD: Does It Work & Is It Safe? There arent any large clinical trials that compare individual H2 blockers. Antacids work quickly to address heartburn. H2 blockers start to work in minutes and prevent cells in the stomach from producing high levels of stomach acid. We determined which to feature based on key criteria recommended by the experts: symptoms, dosage, and medical history. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. Thankfully, Mylicon understands this parental dilemma; theyve been making simethicone drops for babies suffering from painful gas between feedings for years. Please seek medical advice before starting, changing or terminating any medical treatment. Its smart to have a reliable over-the-counter antacid on hand that can provide quick relief. It may take the full 14 days before you feel the full effects of the drug, but once it kicks in, you should have fewer symptoms of heartburn and acid indigestion until its time for your next course. Prilosec OTC Delayed Release Acid Reducer, Best Flavored Antacid: Side effects from H2 blockers are usually rare. For fast relief- Antacids start to work in seconds to neutralize stomach acid, making your stomach contents less acidic and reducing the chances that acidic liquid will leak into your esophagus (the muscular tube that connects your mouth and stomach). A systematic review and metaanalysis of clinical trials. PPIs work inside the cells of the stomach lining. *Based on 8-hour symptom relief studies during the day. These medications work in different ways to affect your stomach acid. Each medication has its own recommended dosage, so patients should read the label and/or consult with the pharmacist to confirm the appropriate dosing regimen, Dr. Birnstein says. They work by blocking chemical receptors in the stomach called histamine-2 receptors. Talk to your healthcare provider to discuss whether a preventative medication is needed. All third party trademarks are the property of their respective owners. According to Matt Tompson, MD, a gastroenterologist with Houston Methodist, these are better for people with chronic acid reflux or chronic dyspepsia. Learn more about Sometimes people with this problem can taste food or acidic fluid in the back of the mouth. Content is fact checked after it has been edited and before publication. Antacids containing calcium carbonate like TUMS, Pepto Bismol, and some proton pump inhibitors can cause constipationOccasionally, you will see a patient get diarrhea from the medication, Dr. Tompson said. You can also use several strategies to help prevent heartburn from happening in the first place. Common PPIs include: All of these PPIs are available OTC, with the exception of pantoprazole, and also by prescription. Based on all of these factors, we compiled this list of the best antacids to treat symptoms related to acid reflux and heartburn. Some doses are only available by prescription. Our top pick is none other than iconic than Pepto Bismol, with its fluorescent pink color, chalky texture, and minty (or cherry) flavor. Healthcare professionals review articles for medical accuracy. Side effects of PPIs are usually mild and may include: When PPIs are used for a long time, serious side effects are possible. While some acid is necessary for digestion, too much can lead to problems like heartburn1. Heartburn symptoms are common but can be uncomfortable and inconvenient. Dr. Ghouri recommends that people with mild, intermittent heartburn turn to this recognizable option, which treats nausea and diarrhea symptoms, too. Get nutrition tips and advice to make healthy eating easier. It also happens to be Dr. Ghouris personal favorite. An official website of the United States government, : Pepto Bismol Original Liquid, Best Proton Pump Inhibitor: Youre trying to relieve GI issues, not create new onesbut taking certain antacids can lead to constipation, especially if youre taking them around the clock or using more than the recommended amount. Prilosec (or omeprazole), is an easy-to-find proton pump inhibitor category, which means it reduces the amount of food-digesting acid produced by the cells in your stomach lining. If you only have heartburn when you eat certain foods, a short-acting antacid should work finebut if your indigestion is chronic, youll want a longer-lasting formula. Brands that use magnesium can cause diarrhea. Verywell Health's content is for informational and educational purposes only. Before sharing sensitive information, make sure you're on a federal government site. Sign up for PEPCID emails today! Talk to your healthcare provider if you need an antacid frequently for more than two weeks. Bismuth subsalicylate and calcium carbonate can cause constipation, while proton pump inhibitors carry a risk of bone fractures, vitamin deficiencies, and kidney disease, though this isnt typical with short-term use. Heartburn is an uncomfortable burning sensation in your chest. That mineral is essential to neutralize the acid in the stomach and esophagus that is causing the uncomfortable symptoms. We recommend Pepto Bismol because it's a great liquid option and can be used to treat diarrhea.Prilosec's Acid Reducer is a good prroton pump inhibitor for people with chronic symptoms because it's formulated with omeprazole to reduce stomach acid. These medications can decrease the amount of stomach acid you produce, says University of Missouri Health Care gastroenterologist Yezaz Ghouri, MD. Heartburn occurs when stomach contents flow back up into the esophagusthe muscular tube that carries food and liquids from the mouth to the stomach. Written by Ross Phan, PharmD, BCACP, BCGP, BCPS, Written by Jennifer Arnouville, DO, FAAFP. Omeprazole was one of the first antacids in the class of drugs called proton pump inhibitors, and while some of the newer ones like esomeprazole and dexlansoprazole are considered to be more potent, omeprazole is usually sufficient in controlling symptoms in a majority of cases, Dr. Ghouri says. Verywell Health content is rigorously reviewed by a team of qualified and experienced fact checkers. Get fast heartburn relief with dual-action antacid & acid reducer PEPCID COMPLETE. BMC Complement Altern Med. Sarah Bradley has been writing health content since 2017everything from product roundups and illness FAQs to nutrition explainers and the dish on diet trends. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. But OTC medication, specifically a proton pump inhibitor, can be a good option for people to find some relief from the symptoms as well. Active Ingredients: Bismuth subsalicylate 525 mg | Dosage: 30 mL every 30 minutes as needed, not exceeding 240 mL in 24 hours | Uses: Nausea, heartburn, indigestion, upset stomach, and diarrhea, One of the first proton pump inhibitors created, May not be as strong as some other brands. H2 blockers are available in generic and brand-name versions. If your symptoms have not improved after 2 weeks of taking an antacid, you may need a stronger medication. ALL RIGHTS RESERVED. The site is published by McNeil Consumer Pharmaceuticals Co., which is solely responsible for its content. The stomach normally produces hydrochloric acid to help digest food and kill bacteria or other organisms that may have been ingested along with the food, Dr. Ghouri explains. When youre looking for fast relief, there are a few different options available at your local pharmacy. Overall, the choice of which PPI to use depends on several factors, including what other medications you take. GoodRx provides no warranty for any information. PPIs are commonly taken about 30 minutes before your first meal of the day. products. How often do you have symptoms? If your symptoms are moderate to severe, you likely need a proton pump inhibitor like omeprazole or esomeprazole. Although diet changes and home remedies can go a long way in heartburn prevention, its not always enough. H2 blockers dont have any particular preferable time of day to take them. 2021 GSK GROUP OF COMPANIES OR ITS LICENSOR. Most people take antacids when they expect to have symptoms, so its a good idea to learn what triggers your symptoms. If you experience this, then you may also experience acid reflux and heartburn. You are now leaving Gaviscon.com and moving to an external website independently operated and not managed by GSK. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. The stomach adapts to the medication, and they become much less effective. Active Ingredients: Calcium carbonate 400 mg, Simethicone 40 mg | Dosage: 1 tablet every 8 hours for kids aged 2-5, 2 tablets every 4 hours for kids aged 6-11 | Uses: Bloating, gas, and indigestion in kids, May not be effective as traditional products, Some users reported worsening of reflux symptoms. Genomics of Tropical Crop Plants. It can take 1 to 4 days to feel the full effects but some people get complete symptom relief within 24 hours. She graduated from the University of Missouri at Columbia. The researchers found that differences between products was likely due to variation in doses, not the PPIs themselves. Some babies are born into this world with extra-sensitive stomachs, and as a parent, you need to know what treatments, remedies, and medications are safe for your little ones tummy troubles. Her experience and knowledge in the field work together to help readers like yourself find the best products for your daily life. If you feel squeamish about the thought of adding more medications to your daily routine to treat your heartburn and indigestion symptoms, a drug-free, all-natural alternative like Matys could be a good option for you. McNeil Consumer Pharmaceuticals Co. 1998 - 2021. These may include: Low levels of magnesium, which can lead to convulsions, fatigue, and muscle weakness, Bacterial infections (like Clostridium difficile). Here are the best antacids on the market. OTC PPIs are only intended for a 14-day course of treatment and can be used up to three times per year. Together, they can ease feelings of discomfort and nausea. Matys All Natural Acid & Indigestion Relief, The 7 Best Over-the-Counter Hemorrhoid Treatments of 2022, Tums and Alcohol: Mixing, Effects, Indigestion Relief, Gluten-Free Medications for Diarrhea, Constipation, and Heartburn, Learn How Tums Works, Its Precautions, and Its Side Effects, Natural and Home Remedies for Stomach Ulcers. If patients symptoms do not improve within 2-3 days, they should consult with a healthcare provider.. Phytotherapy Research. One chewable tablet works fast and lasts all day*, Works before, during, or after the start of heartburn, Maximum heartburn relief for your tough heartburn, even at night. Many antacid brands contain calcium. Below are common side effects by medication: Cimetidine: headache, diarrhea, and breast growth in men (gynecomastia), Famotidine: constipation, headache, diarrhea, and dizziness, Nizatidine: headache, dizziness, diarrhea, pain, and common cold symptoms. 2021;21(1):112. doi:10.1186/s12876-021-01687-8, Teng M, Khoo AL, Zhao YJ, et al. The .gov means its official.Federal government websites often end in .gov or .mil. Talk to your doctor if you think your antacid is making it more difficult for you to have regular bowel movements. The authors found that higher doses led to better control of GERD. Antacids relieve heartburn (indigestion). Inhibition of curcumin on influenza A virus infection and influenzal pneumonia via oxidative stress, TLR2/4, p38/JNK MAPK and NF-B pathways. These tablets, which come in an assortment of berry flavors, are made with calcium carbonate. Generally, generics tend to be cheaper than brand-name products. Because acid reducers may interact with certain other medicines, ask your doctor or pharmacist before use if you are taking a prescription drug. 2019;11(9):e5563. Not only will they provide you quick relief to whatever symptoms you might be feeling, but the tablets also taste good. Active Ingredients: Calcium carbonate 675 mg, Magnesium hydroxide 135 mg | Dosage: 2 to 4 tablets as needed, not exceeding 10 tablets in 24 hours | Uses: Heartburn and acid indigestion, May not be safe for people with existing conditions. With GoodRx coupons, the lowest prices for 30-day supplies of generic PPIs are: Three main groups of medications treat symptoms of acid reflux, like heartburn, and GERD: antacids, H2 blockers, and PPIs. She has covered the health and wellness space through a variety of lifestyle lenses for more than 10 years. Antacids are available in many forms. When there is an overproduction of the acid, it can lead to stomach discomfort.. PPIs work by reducing the amount of acid produced by the stomach. Antacids and H2 blockers help treat infrequent heartburn. Onset of acid-neutralizing action of a calcium/magnesium carbonate-based antacid using an artificial stomach model: an in vitro evaluation. Common PPI dosages for treating GERD are below: In 2003, a meta-analysis (a review of many studies) compared the different PPIs to one another for a short period of time. H2 blockers are another class of medication that can relieve symptoms of acid reflux. She knows how important it is to receive trustworthy and expert-approved advice about over-the-counter products that manage everyday health conditions, from GI issues and allergies to chronic headaches and joint pain. Ginger and turmeric ancient spices and modern medicines. Gastroesophageal reflux disease (GERD) is caused by stomach acid rising all the way up into your esophagus, throat, and mouth, and can cause a painful burning sensation, belching, and difficulty swallowing. Some things youll want to remember include: Take antacids separately from your other medications. The website and its content are intended for USA audiences only. We've updated our Privacy Policy, which will go in to effect on September 1, 2022. taking Pepto Bismol consistently can cause constipation, they can ease feelings of discomfort and nausea, The safety of long-term daily usage of a proton pump inhibitor: a literature review. Common OTC antacids include: H2 blockers relieve and prevent heartburn and work by reducing the amount of acid produced by the stomach. Click here to find home remedies to help find symptom relief. She taught creative writing for five years, and has a bachelor's degree in English from Southern Connecticut State University. The site is secure. If you have serious or more frequent symptoms, you may need a higher dose of an H2 blocker or a PPI. 2015;40(4):368-375. doi:10.1111/jcpt.12277. If they do occur, theyre usually mild. Talk to your healthcare provider if you think you need a PPI. Now, youll enjoy a streamlined experience created specifically for healthcare providers. Ranitidine (Zantac), another H2 blocker, was discontinued because it had higher-than-acceptable levels of nitrosamines, a chemical that can be harmful if you ingest too much over time. Also called acid indigestion, heartburn is an uncomfortable, burning feeling in the mid-chest, behind the breastbone, or in the upper part of the abdomenthe area between the chest and the hips. Nexium 24HR Acid Reducer Heartburn Relief Capsules, Best for Kids: Gaviscon Extra Strength antacid tablets are available in Original and Cherry flavors. Making changes to your diet can help prevent heartburn. There are a few things to keep in mind when taking antacids. While some choices on our list may be more expensive, we wanted to give a wide range of options that would fit all needs and budgets. Confusion, hallucinations, or delirium may occur. Too much calcium can lead to kidney stones. When heartburn or acid indigestion strikes, you need something that settles your stomach ASAP, especially if theyre causing pain or discomfort. Enter your email to sign up. Common OTC H2-blockers include: OTC PPIs treat frequent heartburn (occurs 2 or more days a week) and are not intended for immediate relief of heartburn, as they may take one to four days for full effect. What's Difference Between Heartburn, Acid Reflux and GERD? She is also a certified barre instructor teaching at a boutique studio. PPIs are available in generic and brand-name versions. But proton pump inhibitors tend to work best for people when they are consumed in the morning before eating. Want to receive tips, personalized content and exclusive offers from PEPCID? Famotidine (Pepcid) regular strength 10 mg, Famotidine (Pepcid AC) maximum strength 20 mg, Famotidine (Zantac 360) regular strength 10 mg, Famotidine (Zantac 360) regular strength 20 mg, 1 tablet up to 30 minutes before eating or drinking something that causes heartburn, 1 tablet 15-60 minutes before eating or drinking something that causes heartburn, 1 tablet 10-60 minutes before eating or drinking something that causes heartburn, 800 mg twice daily or 400 mg 4 times a day, 300, 400, and 800 mg tablets and oral solution, 20 mg and 40 mg tablets and oral suspension, 150 mg and 300 mg capsules, and oral solution. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. But they also offer a childrens antacid, so theres a way to help older kids, too. Proton pump inhibitors dont specifically target gas and bloating, but antacids containing simethicone, bismuth subsalicylate, or magnesium can relieve gas symptoms in addition to reflux and indigestion. As a general rule, take other medications either 1 hour before or 4 hours after you take antacids. Certain doses of famotidine and cimetidine are also available by prescription. There are three classes of OTC medications for the treatment of heartburn. 2012;12(1):92. If your heartburn symptoms persist even after taking these drugs, then talk to a health care professional. Dai J, Gu L, Su Y, et al. Try PEPCID the #1 doctor recommended acid reducer brand. J Clin Pharm Ther. Learn about heartburn: what causes it, how you can help prevent it, and how Gaviscon antacids can help provide relief. They should be taken before eating or drinking anything that can cause heartburn. All three groups of medications are available over-the-counter (OTC). For more chronic sufferers, Prilosec OTC is Dr. Ghouris go-to recommendation for symptoms of indigestion because it works well and is available in a generic formulation, making it accessible and affordable. They can help you decide which product is best for you. A systematic review and metaanalysis of clinical trials. She has written for publications like Women's Health, Healthline, and Parents. We independently research, test, review, and recommend the best Rahnama P, Montazeri A, Huseini HF, Kianbakht S, Naseri M. Effect of Zingiber officinale R. rhizomes (Ginger) on pain relief in primary dysmenorrhea: a placebo randomized trial. It interacts with medications like warfarin and some antidepressants. When combined active ingredients like like calcium carbonate, this combination helps neutralize the stomach acid in both the stomach and esophagus. Springer New York; 2008:299-311. Dosage recommendations for both preventing and treating heartburn are below: If you have heartburn frequently (2 or more times per week), you may have GERD. Almost everyone gets heartburn from time to time. Additionally, you should speak to a doctor before giving Pepto Bismol to a child or teenager also exhibiting flu-like or chicken pox symptoms. Meta-analysis of the effectiveness of esomeprazole in gastroesophageal reflux disease and Helicobacter pylori infection, Effect of Zingiber officinale R. rhizomes (Ginger) on pain relief in primary dysmenorrhea: a placebo randomized trial, Ginger and turmeric ancient spices and modern medicines, Inhibition of curcumin on influenza A virus infection and influenzal pneumonia via oxidative stress, Does ginger supplementation lower blood pressure? The safety of long-term daily usage of a proton pump inhibitor: a literature review. For best results, take two to four tablets when you begin to notice symptoms. Abbas MK, Zaidi ARZ, Robert CA, Thiha S, Malik BH. Some antacids may contain magnesium which will have a laxative effect at certain dosages, Dr. Birnstein says. Rolaids Extra Strength Antacid Chewable Tablets, The 8 Best Gas Medicines for Quick, Reliable Relief, Best for GERD: They work by changing the stomach acid that causes heartburn. Could Acid Reflux Be Triggering Your Asthma? The information you submit will be governed by Care Clubs, Compare H2 Blockers vs. Antacids vs. PPIs, Compare PEPCID To Other OTC Heartburn Medicines, three main types of heartburn medications, PEPCID COMPLETE Chewable Tablet with Famotidine & Antacids, Original Strength PEPCID AC Tablets with Famotidine, Maximum Strength PEPCID AC Tablets with Famotidine, PEPCID COMPLETE ON-THE-GO Chewable Tablet with Famotidine & Antacids. Its important not to overuse these antacids since too much calcium can build up in the kidneys and cause problems. If you have kidney problems, the dose of famotidine and nizatidine may need to be lowered. When buying an antacid, look for active ingredients that reduce stomach acid, such as calcium carbonate. TERMS OF USE|COOKIE PLOICY|PRIVACY NOTICE|CONTACT US|SITE MAP. Gaviscon Extra Strength liquid antacids are available in Cherry and Cool Mint Flavors. Let your healthcare provider know if you have any kidney or liver issues before starting an H2 blocker. These side effects are most common with cimetidine, though they can happen with any H2 blocker. Can take up to 1-4 days for full effect. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administrations (FDA) MedWatch Adverse Event Reporting program online or by phone (1-800-332-1088). The 7 Best Antacids, According to Gastroenterologists. Its been around forever, and thats because it works. For heartburn, OTC omeprazole 20 mg, lansoprazole 15 mg, and esomeprazole 20 mg are typically taken once daily for 14 days. Cureus. Your provider may recommend a PPI, which well cover next. Common types of medications that treat heartburn, acid reflux, and GERD are antacids, histamine-2 antagonists (H2 blockers), and proton pump inhibitors (PPIs). But if your symptoms are frequent and bothersome, you may need something stronger, such as an H2 blocker or a PPI. Gang DR, Ma X-Q. Typically, they start to work within one to three hours and provide acid-suppression for several hours. PEPCID products start working in minutes and can ease symptoms day or night. The tablets are free of gluten, saccharin, alcohol, and artificial flavors. Younger kids can take one tablet three times per day, and older kids can take two tablets up to six times per day. A bonus of this medication is that it comes in a soothing mint flavor. Ashleigh is the editorial director for commerce at Verywell where she oversees health, fitness, family, and mind content. Its a symptom of acid reflux, which occurs when the contents of your stomach flow backward into the tube that connects your mouth and stomach (esophagus). Michael Menna, DO, is a board-certified, active attending emergency medicine physician at White Plains Hospital in White Plains, New York. The different brands of antacids have different instructions on how to take them, so make sure you always read the label of your specific product.
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