PPI’s Gaviscon advance and A-Fib meds

[Whosthegraniam]

Good Evening

I was recently diagnosed with A-Fib and Atrial Flutter now awaiting Echocardiagram

I was already taking Esomeprazole each morning for Gerd and Gaviscon advance when needed especially before bed to enable a restful sleep

My B/P medication was changed and I now have been prescribed Candesartan 8mg

Bisoprolol 2.5 mg

Also I have now been prescribed 5 mg Apixaban twice daily (12 hours apart)

All this was prescribed by Cardiologist after A-Fib attack and admission to hospital

Cardiologist said I had Right Bundle Branch Block and Atrial Flutter

On being discharged I was in normal sinus mode with a regular rhythmn

My question is , does anyone have any information on leaving time in between taking these different meds

I’m not sure if I need to leave a gap between taking the Gaviscon and the Apixaban

I don’t take Gaviscon on a morning so Gaviscon is not taken with or near the taking of Candesartan and Bisoprolol

Any comments would be welcome

I had. 24 hour monitor a week after I got home and cardiologist said It was only showing a slow heart rate due to newly prescribed medication

Thanks in advance

[meadfoot]

I take flecainide twice daily, atenolol beta blocker once daily, rivaroxaban once daily and gaviscon advance. I am careful not to take gaviscon advance within two hours of other meds. Gaviscon instructions say it to take within one hour as it can affect other meds.

Being extra cautious I leave two hours before I take gaviscon. I found PPIs exacerbated my afib but that probably is just my experience. I dont take them anymore for that reason although I suffer badly with acid reflux. Best wishes.

[Whosthegraniam in reply to meadfoot]

Thank you so much for your reply.That's really helpful i wasn't told if there was any timings i needed to watch in considering when to take meds and gaviscon 👍

[SkyBluePInk47 in reply to meadfoot]

I read that PPI’s and some nasal sprays can cause a-fib. Also, untreated acid reflux can.

My cardiologist will not prescribe Atenolol, he said it can damage the kidneys.

[meadfoot in reply to SkyBluePInk47]

Acid reflux has started off my ectopics many times, this morning included.

[BobD Volunteer]

Everything I have ever read says don't take Gaviscon if you are taking PPIs so not sure who prescribed that.

[Whosthegraniam in reply to BobD]

That's interesting , I need to have a conversation with my G.P and the new cardiologist i have acquired recently .On being discharged from hospital with my new meds,they also gave me my lansoprazole and gaviscon advance liquid.Thank you for your thoughts on this and taking time to reply

[kkatz in reply to BobD]

Well Bob my GP prescribed an intensive course of Gaviscon 4 times a day for 6 weeks when taking double doze of omeprazol.What I really needed was an hiatus hernia repair.

[babs1234]

that’s very interesting. My agib episodes often happen for no reason in the morning. That’s when I take my letrazole. I wonder if it’s connected. Going to try and take it less

[Cavalierrubie]

l take PPI’s and Gaviscon if needed. You can take both as it was prescribed by my gastroenterologist, after meals and at bedtime. I think others on here do as well. I only take the Gaviscon if l am having a bad flare up of symptoms, which can happen with stomach issues. I always think it sensible to not take two medications at the same time, PPI’s are usually taken in the morning, so l would leave a couple of hours before taking Gaviscon.

[Ppiman]

I take broadly similar medication to you and have LBBB, similarly. Your tablets can be taken together as prescribed. Gaviscon will have no effect on them at all.

Plain Gaviscon (which is identical to the far cheaper generic sodium alginate mixture) forms a frothy thick-ish layer that is said to float on top the stomach contents. It has no drug effect, but is an attempt to create a physical barrier to hold back acidic stomach juices and stop them from flowing into the oesophagus (food pipe). It should be taken after meals and before bed. It seems to help in some cases but did nothing for me.

Steve

[Whosthegraniam in reply to Ppiman]

Thank you so much for taking the time to reply i really appreciate your comments