Medications for Peptic Ulcer Disease
Last June, I underwent an upper gastrointestinal endoscopy, and the results were normal, but there was slight enlargement of the cardia and mild gastroesophageal reflux.
It was advised to change my dietary habits.
However, in mid-January of this year, I experienced a sensation of something stuck in my throat and visited an otolaryngologist.
A nasopharyngoscopy revealed pharyngitis, likely caused by gastroesophageal reflux.
I was prescribed the following medications: (1) PERISCON 5mg/tablet, a coated tablet to be taken three times daily after meals; (2) TAKEPRON OD 30mg, an orally disintegrating tablet to be taken twice daily (morning and evening) after meals; (3) SPLOTIN 50mg, an ulcer medication to be taken three times daily after meals.
Can these medications effectively address the symptoms of gastroesophageal reflux? Are the prescribed times for taking these medications correct? I found online that (2) TAKEPRON OD should be taken before meals.
Liao Xiansheng, 40~49 year old female. Ask Date: 2023/01/28
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1.
Yes, it can alleviate the symptoms of gastroesophageal reflux disease (GERD); however, in addition to medication, dietary and emotional changes are also necessary.
It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat foods, high-protein foods, chocolate, sweets, and to address issues such as being underweight/overweight and constipation, as these can be potential contributing factors.
2.
The recommended time to take the medication "Dabutai Ke" (Dabutai Gastrointestinal Dissolvable Tablets) is 15-30 minutes before meals.
However, for the convenience of taking the medication (to take it together), some physicians may suggest taking it after meals.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2023/01/28
More Info
Managing gastroesophageal reflux disease (GERD) effectively often requires a combination of lifestyle modifications and pharmacological interventions. Based on your inquiry regarding the medications prescribed to you, let's break down their roles and effectiveness in addressing GERD symptoms.
1. Understanding Your Medications:
- PERISCON (5 mg): This medication is typically used as an antacid and may contain alginate, which helps to form a protective barrier on top of the stomach contents, reducing the likelihood of reflux. Taking it after meals is appropriate as it can help neutralize stomach acid and provide symptomatic relief.
- TAKEPRON OD (30 mg): This is a proton pump inhibitor (PPI), which works by significantly reducing the production of stomach acid. It is generally recommended to take PPIs before meals for optimal absorption and effectiveness. If your doctor has prescribed it to be taken after meals, it may still provide some benefit, but taking it before meals is usually more effective.
- SPLOTIN (50 mg): This medication is likely a prokinetic agent that enhances gastrointestinal motility, helping to move food through the digestive tract more efficiently. Taking it after meals is appropriate as it can assist in reducing the sensation of fullness and discomfort.
2. Effectiveness in Managing GERD:
- The combination of these medications can be effective in managing GERD symptoms. The PPI (TAKEPRON) will help reduce acid production, while PERISCON can provide immediate relief from heartburn and discomfort. SPLOTIN can help with gastric emptying, which is beneficial for reducing reflux symptoms.
- However, it is essential to note that while medications can alleviate symptoms, they do not cure GERD. Long-term management often involves lifestyle changes such as dietary modifications, weight management, and avoiding triggers like spicy foods, caffeine, and alcohol.
3. Timing of Medication:
- As you pointed out, the timing of TAKEPRON is crucial. While your prescription indicates it should be taken after meals, it is generally more effective when taken before meals. You may want to discuss this with your healthcare provider to ensure you are getting the maximum benefit from the medication.
- Consistency in taking medications at the recommended times is vital for managing symptoms effectively. If you have any doubts about the timing or the effectiveness of your medications, it is always best to consult with your prescribing physician.
4. Additional Considerations:
- If you continue to experience symptoms such as throat discomfort or a sensation of something stuck in your throat, it may be beneficial to follow up with your healthcare provider. They may consider additional diagnostic tests or alternative treatments.
- Lifestyle modifications can significantly impact the management of GERD. Consider incorporating smaller, more frequent meals, avoiding late-night eating, and elevating the head of your bed to reduce nighttime symptoms.
In summary, the medications prescribed to you can be effective in managing GERD symptoms, but their timing and your adherence to lifestyle changes are crucial for optimal results. Always consult with your healthcare provider regarding any concerns or persistent symptoms to ensure a comprehensive approach to your treatment.
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