Proton Pump Inhibitors (PPIs) are both popular and effective for acid reflux treatment. However, as with most medications, there can be both long-term benefits and risks. The ultimate goal of most medications is to reduce the amount you are taking down to the most effective dose. Taking only the medication you need will help you to save money and reduce the side effects.
If you are interested in reducing or discontinuing your PPI, the first thing you should do is to talk to your doctor (the one who prescribed your medication). He or she will know whether or not you are a good candidate to try to wean from your PPI. While there are risks to taking a PPI long term, GERD left untreated is a greater risk.
If your doctor thinks you may benefit from medication reduction, he or she might try several different approaches, including:
1. A Slow Step Down. Your doctor may slowly reduce the amount of medication you are taking over time. For example, if you are on a twice-dail...
In my career working with the Pediatric Adolescent Gastroesophageal Reflux Association (PAGER) I have found that there are several questions that come up over and over. One of these such questions is regarding how to wean your child from acid reflux medications. The first step in weaning your child from acid reflux medications is to make sure that they are no longer in pain. If they are still having frequent painful reflux episodes on medication then weaning them off will at best make the symptoms worse and at worst it could cause esophagitis or other damage. Pain is a sign that the medication is still needed. The second step in weaning is to be sure that you pull EVERY reflux trigger from your child's diet. Even if they could eat the food on medication it does not mean they will be able to eat it when you pull the medications. Most of the main triggers are spicy foods, high fat meals, citrus juice and fruits, tomato and tomato based products, soda an...
Prozac had been around for about 6 years when I was prescribed it in 1994. From one of the deepest depressions I ever had, it raised me into mild hypomania that lasted fully for a year, then waned over the next two years. I also gained 30 pounds in the first two years I took it, going from an underweight 115 (I was 5'10" and looked good between 125 and 135 pounds) to a beginning-to-be-unattractive 147.
After that, the effect waned fast, and by 1999, just 5 years later, it wasn't working at all. That's when I went to a psychiatrist for the first time and was diagnosed with bipolar II.
I still miss that mild hypomania. It had almost no negative symptoms and it was about the best I ever felt in my life. But many others tell me Prozac - now available in the cheaper generic fluoxetine - wasn't so good for them. Here's some of what people told me:
I didn't like Prozac. It would make me extremely manic.
It didn't agree with me.
It made me numb. Now emotions what so ever. Didn'...
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