Dexilant twice a day--is it worth it?

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MountainReader

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Today my Gastroenterologist put my on Dexilant 60 mg twice a day.

My History:

I've had reflux diagnosed for about 10 years. I've been on Dexilant once per day for a couple years. Prior to that I was on Prevacid Solutabs 30 mg twice per day. The Dexilant has the same active ingredient as the Prevacid and the dual delay time release of the Dexilant gave me similar dosages with a once per day administration which I have enjoyed. I had the same results on both. (I've been on all PPI's on the market and this worked best for me.)

I had a Nissen Fundoplication in 2008 that worked immediately and that current testing shows is still intact. I have slept on a 6" slant for years and watch my diet also.

Over the last 3 months, I developed another chronic cough and some asthma problems. Multiple approaches to treatment failed to work. I had an Endoscopy that showed no damage. I had an upper pH test that I took while I stayed on my Dexilant and Pepcid and it came back horrible. This probe measured aerosolized pH in the oropharynx. It is a pH test that is new on the market to measure reflux in the gas form in the upper throat. Despite my surgery and medications, I had 102 incidents of acid reflux making it up past my vocal corRAB. One incident registered for 56 minutes. The normal RYAN score upright is
 
MountainReader,

That IS a very high dose. The thing I'd most worry about at that dosage is vitamin defiencies. I currently take 30mg daily of Dexilant, and struggle to maintain my vitamin/nutrient levels, esp Potassium/Magnesium(while taking suppliments).

If nothing else is working for you, I'm not sure what choice you have.

Michelle
 
Thanks IndianMist,

I've added some additional supplements to my regimine, but none of my docs seem inclined to test for nutrient depletion other than my iron.

You're right in that I'm not seeing another real choices right now. I guess that is part of my frustration.
 
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