Which is better pantoloc or nexium

Find out how these drugs are alike and different. Baking soda can temporarily relieve acid reflux. But it can also cause unintended side effects. Find out how much baking soda you should take for acid….

You can help normalize your overactive bladder naturally by avoiding artificial sweeteners, caffeine, and alcohol, losing weight, and performing…. Prokinetics such as bethanechol, cisapride, domperidone, and metoclopramide are treatments for GERD.

They help strengthen the lower esophageal…. Numerous over-the-counter medications can help treat GERD, or heartburn. Learn more about your options for treating GERD and when you should see a…. Gastroesophageal reflux disease GERD is a chronic condition that affects nearly 20 percent of American adults.

Learn the complications from GERD…. Health Conditions Discover Plan Connect. Rheumatoid Arthritis. Nexium vs. Medically reviewed by Alan Carter, Pharm. Understanding your options Heartburn is difficult enough. Take a closer look at both to see what benefits one medication may offer over the other.

Why PPIs work. Side effects. Warnings and interactions. Sign Up Now. Previous: Newsletter. Next: The Safety of Caffeine Consumption. Nov 1, Issue. From left: Dr.

Mark Graber, Dr. Andrea Darby-Stewart, and Dr. Robert Dachs. Purpose Each month, three presenters will review an interesting journal article in a conversational manner. Is one PPI better than another?

What does this article say? Six studies of lansoprazole Prevacid 30 mg versus omeprazole 20 mg found no difference. Two studies of rabeprazole Aciphex 20 mg versus omeprazole 20 mg found no difference.

Should we believe this study? What should the family physician do? Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access.

These PPIs should be monitored or avoided with other drugs that are dependent on stomach acidity for absorption. Drugs that are dependent on stomach acidity for absorption include iron salts, erlotinib, ketoconazole, and mycophenolate mofetil. Protonix and Nexium can also interact with antiretroviral drugs, or drugs that are often used to treat HIV.

PPIs can increase or decrease blood levels of antiretroviral drugs, which can lead to an increased risk of toxicity or decreased effectiveness with antiretroviral drugs. Nexium should be monitored or avoided with diazepam since it can increase blood levels of diazepam and lead to an increased risk of adverse effects. The use of Nexium and clopidogrel together should also be avoided. Nexium can decrease how well clopidogrel works in the body, which can increase the risk of blood clots.

The long-term use of PPIs may lead to an increased risk of bone fractures, especially in people who have already been diagnosed with osteoporosis. Bone mineral density may need to be monitored during long-term treatment with PPIs. Some patients have experienced acute tubulointerstitial nephritis TIN while taking Protonix or Nexium. Nephritis is the inflammation of the kidneys, which can lead to decreased kidney function.

The use of PPIs may be linked to an increased risk of Clostridium difficile-associated diarrhea. Those who experience persistent diarrhea may need to be monitored, especially in a hospital setting. Taking Protonix or Nexium can increase the risk of low blood levels of magnesium hypomagnesemia or vitamin B12 vitamin B12 deficiency. There is an increased risk of hypomagnesemia and vitamin B12 deficiency in those on long-term treatment with PPIs.

Consult your healthcare provider for other possible warnings and precautions before taking a PPI. Protonix is available as a delayed-release tablet and liquid suspension. The generic name of Protonix is pantoprazole. It is available with a prescription or over the counter. Nexium primarily comes as a delayed-release capsule or a liquid suspension. The generic name of Nexium is esomeprazole. However, they contain different active ingredients and come in different formulations.

Protonix contains pantoprazole and Nexium contains esomeprazole. There is considerable interest regarding the dose equivalence between various proton pump inhibitors. Goals: To compare the efficacy of pantoprazole and esomeprazole with regard to healing and relief from gastroesophageal reflux disease-related symptoms.