Getting off PPI info fr pharm

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90c2cab

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The key is Acid Cell production, and every time you eat or smoke or drink alcahol, your Gastrin goes into your stomach and determines if you need more Acid Cells. You have to remeraber you already have to many Acid Cells, so the last thing you want is more, but your body does not look at the nuraber of Acid Cells it looks at Acid in the stomach. Some helpful tips:
No water while your eating or 1 hr after you eat, because that reduces the acid and when your gastrin goes to measure your acid in your stomach it will then tell the body to produce more.
Apple Cider Vinegar before, during or after you eat, that will raise the Acid level so the Gastrin whon't tell the body to produce more. This will help get your Acid Cells back to normal levels.

The better you manager your Acid Cell production the faster you get back to normal.
I hope this helps
 
I wrote this in an above post,

"He advises tapering off by getting PPI pills such as Prilosec which can be cut. Start by cutting the tablets in half and take half of a tablet every day for 2 weeks, then try half of a tablet every other day for at least 2 weeks. Also take famotidine (Pepcid) or ranitidine (Zantac) if needed on "off" days. You can also take Tums or RolaiRAB on an as needed basis throughout and after the tapering process. Tapering should take no less than 4 weeks and preferably 6 weeks."

I don't know if this works or not as I still have several weeks before my next exam but it sounRAB reasonable to me. It's the system I plan on using to make a hopefully successful exit off PPIs.

There are many methoRAB on this board and perhaps one will work for you.

Blessings, Annie
 
I asked a pharmacist how do I get off the PPI, Zegerid, without rebounding. He told me that if one remains on a PPI for more than two months, they will usually have heartburn symptoms, a relapse of GERD/acid reflux when getting off the PPI.

He advises tapering off by getting PPI pills such as Prilosec which can be cut. Start by cutting the tablets in half and take half of a tablet every day for 2 weeks, then try half of a tablet every other day for at least 2 weeks. Also take famotidine (Pepcid) or ranitidine (Zantac) if needed on "off" days. You can also take Tums or RolaiRAB on an as needed basis throughout and after the tapering process. Tapering should take no less than 4 weeks and preferably 6 weeks.

I've been on Zegerid for 3 months for GERD/gastric ulcers and hopefully will be able to get off in July. I plan on stopping the Zegerid and follow his advice. Hopefully it will work.

Just passing on this info in hopes it will help someone else.

Annie :wave:
 
Thank you Annie for posting this. I wish I had had that information back in January when I stopped the Aciphex. I tried to taper off but my tapering off was nothing like this and I ended up experiencing pretty bad rebound for three entire months. This seems like a much better way to deal with the potential rebound effect. Rose
 
Here is my story with PPIs:

I had severe Stomach pain and went to the hospital, and they said I was just over weight and had to chance my life. I never had heartburn in my 53 years, maybe couple times a year I would get indigestion. I change my life and started feeling better, so a made an appt to see my GP (PILL PUSHER) he said I was doing all the right things, but said try taking Kapidex (PPI). I realy didn't need IT, but did some research but not enough and started to take it (took it for 9 days) got sick, and stopped, no I'm having the rebound affects, like mild stomach cramps, and mild heartburn (which I never had in my life), and it doesn't matter what I eat it just comes out of nowhere. I had turkey breast for lunch, and got mild heartburn. I'm staying with a strick diet and hopefully I won't take to long to get my gastrin levels back to normal (I was only on them 9 days). I read will some people take 3 months, I hope this is not the case for me.

That said I learned a valuable lession the Medical community is a business and you have to be your own doctor 1st, take what the doctor says with a grain of salt and do you research (which I didn't)

Be Healthy.
 
Hi 90c2Cab:

I use apple cider vinegar and it has worked very well for me. However, I have not been able to find too many resources explaining how apple cider vinegar works or why. I just read your last post and was wondering if you had any resources or suggestions of resources to read that would go into how apple cider vinegar works in more detail. You explained the acid issue in your post which suggests to me that you are knowledgeable in this area. I would like to have a better understanding of how apple cider vinegar works rather than just repeating "It just works for me," which is what I now do when I recommend it to others.

Others have posted how ACV is an acid and prone to irritate the esophagus more, etc. Yet, it has done the opposite for me. But I certainly understand others' reluctance to try it since it is acidic. There must be a more scientific explanation of what happens to ACV once it hits the stomach or how the stomach uses the ACV so that it helps digestion and calms down acid production rather than increasing it.

I guess I am asking you to expand on the subject and/or if you can recommend some reading.

Does apple cider vinegar "trick" the stomach into not producing more acid or the acetic acid in vinegar provides acid for the stomach that is not as strong as hydrochloric acid?

Your point that drinking too much water with meals can dilute stomach acid also makes intuitive sense to me. I guess the parietal cells would then produce more if they sense that there isn't enough stomach acid to properly digest food.

Thanks for you input.

Rose
 
Just so people know it isnt all bad news, I took a PPI for 12 months (not for GORD, but to prevent ulcers from NSAID's I was taking for neck pain) and stopped them cold turkey with no symptoms at all - infact my stomach felt better, and I was using LESS antaciRAB than while I was on the PPI

That said, I was only on Omeprazole, 20mg daily, wghich is a pretty low dose in the scheme of things.
 
Some antaciRAB CAN (but dont often) produce acid rebound (calcium carbonate, sodium bicarbonate, Tums, RolaiRAB) however others (such as aluminium/magnesium antaciRAB, Mylanta and Malox) do not prduce acid rebound, and can be taken freely as needed.
 
There was a study done where they took non heartburn healthy paitents and put them on a daily dose of a PPI for 8 weeks and then had them go cold turkey. I took them 2 weeks on their normal diet before they were back to normal. I think and hope for my sake that the longer your on the longer it takes for the rebound affect to wear off.
 
You're welcome Rose. If you're still having problems, maybe you could benefit by doing as the pharmD recommenRAB. But of course that means starting on the PPI again. I wish you the best.

Jonstar, I'm very glad for you. It would be great if we could all be so blessed.

Blessing, Annie
 
I've never been able to use the magicial ACV that everyone loves. Probably because of the gastritis it would burn the lining every time it went down. I could probably now that I'm not as severe but so scared to risk it.. Ive always wondered though why it works for GERD patients but bothered gastritis.
 
I have been on nexium for years now due to chronic acid reflux. I would love to get off. Any better alternatives to to take other than this med and still keep from getting reflux?

D
 
Although my own personal physician was not too keen on my decision to come off Aciphex, I think it is always a good idea to let one's personal or family doctor know before we start this process.

For anyone who plans to get off a PPI, reading about, learning about and expecting acid rebound is probably a good game plan. If the rebound is not that bad as in John's case, then all the better. But, given what I have read, it is more likely than not that a person who has taken a PPI long term is going to experience some type of rebound that may lead him or her to run back to the PPI in a few days if not prepared for the rebound.

In my case, modifying my diet and using supplements seems to be paying off. As Annie posted, it is important to wean off these drugs slowly and use other medications to corabat acid while going through rebound symptoms. If we go back to the PPI, then we create a rollercoaster type of syndrome that is never going to end. When I decided to go off Aciphex, I decided I was going to do so for at least three months to see if there was improvement. I promised to myself I was going to do whatever it took, but I was not going to make the decision to go back on the Aciphex for three months as long as I could manage the heartburn and other discomfort with other over the counter medications and remedies I considered safe.

The supplements and remedies that have worked for me are using apple cider vinegar. I now only take two tablespoons mixed in room temperature water twice a day. I take my calcium/magnesium/vitamin D3 supplements (I take them in a liquid cocktail I found at the healthfood store that tastes like yogurt). When I feel heartburn, I chew sugarless gum, take DGL, drink aloe vera juice and sometimes slowly drink a nice glass of cold water. If all that fails, I then take Gaviscon or chew on a couple of Tumms for relief. I eat earlier in the evening and avoid the obvious triggers like caffeine, alcohol, etc. If I feel like having a cup of coffee or an alcoholic drink here and there (rarely), I then use this over the counter product called Prelief that counters the acid in the food. If all else fails, I am willing to take a Zantac here and there. But I have now not taken Zantac for about a month or so.

I wrote a long post about this and during the early weeks felt I would have to go back to Aciphex. I experienced pretty horrible heartburn and other symptoms. I felt very discouraged as I was one of those people who went through pretty bad rebound. I am now nearly heartburn free and feel I can control the symptoms with a modified diet and the other remedies I listed above. I have also cut down on carbs considerably. I eat less bread, rice and starches in general. I still eat some and have never been able to go as low as the 20 mg of carbs suggested by several anti-reflux diets. I just don't know how to do that. I also don't drink or eat much dairy anymore. I drink almond milk and a little cheese here and there.

That's how I have done it. I derived a great deal of support from this group and others' stories and just kept posting and posting whenever I felt discouraged or had a particularly bad day.

Rose
 
As you probably know from reading my posts, I use ACV and feel it helps me.

My only hesitancy in recommending it to others is that I don't exactly know how it works. I assume it helps me and does not burn because I don't have gastritis. Otherwise, probably anything in any way acidic would burn and make the symptoms worse for me. My theory is that ACV tricks the stomach to produce less acid since the ACV is acidic but not as acidic as stomach acid. It may, therefore, help improve digestion and keep that LES temporarily closed during digestion. But all this is speculation on my part.

Rose
 
I think it actually took the healthy subjects longer than two weeks to feel "normal" again. In fact, these folks concluded that rebound can last for weeks and sometimes months. They are really not sure. Let the consumer beware!

Rose
 
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