You need to treat the causes of AR. Eat small meals, not fatty or spicy. Don't eat the last 5 hours before you go to bed. Eat food with grain and fiber to assure daily bowel movement -whenever possible. Avoid alcohol that relaxes the sphincter and allow stomach contents to flow back into the esophagus, and raise the pillow side of your bed
about 3 inches higher to keep stomach contents at the lower part, and don't constrict your stomach with tight belts or dresses. 5 weeks of Prilosec and Prevacid gave me a Fibromyalgia skin and upper body pain that made it hard for me to turn in bed, and one night I collapsed involuntarily while going to the bathroom -instant paralysis. I was able to get up, but I didn't take anything after that incident. And, you guessed, I am a strong proponents of lifetime changes that eliminates GERD, and not an easy solution seeker to declare a chemical war in my digestive system. The pill only makes GERD a lifetime problem because it does eliminate the lifestyle causes of GERD. I have learned my lesson the hard way, but I have been GERD free for 8 years now through lifetime changes. The pleasure of eating is not risk free, and people like me have to settle for less eating pleasure or GERD. For me the choice was easy.