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What is hugest dose of prantoprazole or what is it equivalent to other ppi dosages like omaprazole any ideas considering to give them a try before ph monitoring appointment comes through have tryed 3 ppi gi doc said could be worth trying again forgot to ask about dosage
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Barretts russ151
Posted
20 mg omeprazole is normal maintenance dose and 40mg omeprazole is normal high dose though some have to take 80mg omeprazole (as i did ofr a few years before fundoplication). But, in extreme cases, 160 mg has been given!
So normal high dose for pantoprazole is 80mg and in some cases even 160mg. But the doseage should be under the direction and monitoring of a doctor.
PPIs are powerful drugs that should always be prescribed at lowest effective dose.
Other equivalents:
20mg omepraxole = 30mg lansoprazole = 40 mg pantoprazole = 20mg rabeprazole = 20mg esomeprazole = 30mg dexlansoprazole.
Sorry, I don't have equivalents for ilaprazole, picoprazole, tenatoprazole or timoprazole.
russ151 Barretts
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Barretts russ151
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Horror stories of PPIs are largely exagerated. You usually need to be on a high dose for a couple of years to start inducing hypochlorhydria which causes the probelms.
Guest Barretts
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russ151 Barretts
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Barretts Guest
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Klok RM, Postma MJ, Van Hout BA, Brouwers JR. (Meta-analysis: comparing the efficacy of proton pump inhibitors in short-term use.) Alimentery Pharmacology and Therapeutics 2003; 17:1237–1245.
Guest Barretts
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hilary07569 russ151
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Barretts hilary07569
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Some people may start getting used to one PPI. Discuss with your GP. You could try switching to another. He may well suggest you increase your dose for a short period.
Try to reduce the reflux.
hilary07569 Barretts
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Barretts hilary07569
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Best time for rabeprazole is half an hour before breakfast. Take the ranitidine in the evening. However the drugs won't reduce the reflux.
Lose weight if necessary. Don't overfill your stomach - eat little and often.
Avoid tight clothing. Avoid exercise after meals that will put pressure on the stomach.
Leave at least 3 hours between your last meal and going to bed. Raise the head of the bed bu 6 to 8 inches.
hilary07569 russ151
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Barretts hilary07569
Posted
The nutritionist will again only offer advice related to reducing acid - nit to reducing reflux.
If your heartburn has got worse again recently despite taking acid suppressants,, has your GP sent you for another scope to see what's going on?
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