Omeprazole alternative : Hi. I was... - British Heart Fou...

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Omeprazole alternative

BaronFrankenstein profile image
45 Replies

Hi.

I was given omeprazole instead of lameprazole as that was causing diarrhoea. Now ive found with omeprazole ive constantly got a dry mouth that no amount of fluids seems to be able to abate.

Are there other meds other than omeprazole and lameprazole that protect rhe stomach against taking aspirin daily?

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BaronFrankenstein
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45 Replies
Yumz199725 profile image
Yumz199725

Makes sense actually I'm on omeprozole 20mg, and I literally just can't drink enough in a day plus sertraline so dry mouth beyond words x

Happyrosie profile image
Happyrosie

yes there is, Pantoprazole 20mg gastro-resistant tablets. Have a chat with the pharmacist at your doctors surgery to see if they are suitable for you.

BaronFrankenstein profile image
BaronFrankenstein in reply to Happyrosie

Thanks i shall look into that

yellow731 profile image
yellow731

I stopped taking it i just have a bowl of porridge every morning and half way through take asprin then carry on eating

BaronFrankenstein profile image
BaronFrankenstein in reply to yellow731

I was thinking of just not replacing it as i did without lameprazole when i was taking naproxen regularly and didnt have any problems. But inshall speqk to my pharmacist and probably gp too.

momander profile image
momander in reply to BaronFrankenstein

Hi,If you have had a heart attack/ stroke or stents you should no longer be prescribed naproxin or take any kind of anti inflammatory medication. I was taking naproxin regularly for back pain but can no longer take it now i have had heart problems. I hope you find answers to your problem.

Exflex profile image
Exflex in reply to momander

I’ve had a stent to LAD but wasn’t aware non-steroidal anti inflammatory such as Naproxin and Ibuprofen aren’t recommended. Do you know the reason for this?

cachaciero profile image
cachaciero in reply to Exflex

Because there is a statistically significant (small) chance of a heart attack if you anti inflammatories.

As far as I know there is no definitive explanation of why this should be it is just that numbers say it is so. I personally use Diclofenac on an add hock basis, had to jump through a few hoops to get it, basically convince the doctors that I knew about the risks both to kidney and heart, the prescription script is full of ass protection words which is fair enough. Having said that I don't use them more than I have to for arthritic knees and back and usually only to get a couple of nights good sleep every couple of weeks

momander profile image
momander in reply to Exflex

Yes, the reading is thete is a risk of heart attack and/ or stroke when you use them. Afyer I had my firstbheartbattack my GP immediately stopped prescribing them. I still have them in the house but wouldn't go near them now. It's not worth the risk.

Slidingdoors99 profile image
Slidingdoors99 in reply to Exflex

Hi. I have two heart conditions and have talked about naproxen with my consultant. He agreed that my movement and pain would be so bad if I stopped taking 250mg daily that, that outweighs the possible dangers. I also take omeprazol but don’t have the dry mouth thing fortunately.

I would have a chat to your doctor or consultant about it! 😊

Exflex profile image
Exflex in reply to Slidingdoors99

Hi there, after my stent in 2021 I asked the consultant about the likes of ibuprofen and he said only considers it a problem if taken for 5 years non stop. The odd 2 or 3 weeks not an issue to worry about. Years before, I was taking diclofenac for osteoarthritis of the knees, and my GP said he'd prefer to prescribe Naproxin as it’s safer for the heart. At the time I didn’t ask what these non steroidal inflammatories do to the heart, and I forgot to ask the cardiologist.

Slidingdoors99 profile image
Slidingdoors99 in reply to Exflex

Hi! I was switched as well. I have been taking naproxen for many more years than five, but that’s just me! Spinal arthritis is so painful!😔

I hope all goes well for you.😊

yellow731 profile image
yellow731

Yes just line stomach another way mine disolves in water first so drink halfway through breakfast

Lowerfield_no_more profile image
Lowerfield_no_more

With your GPs input, it might be worth a trial of not taking a PPI to see if you have any gastric related side effects from any of the medication you are currently taking. Whereas PPIs are an unfortunate necessity for folks like me who have reflux disease, they might be optional for people who might possibly have a reaction to some medication, although in that case the default seems to be prescribe a PPI irrespective of whether there might be a a reaction or not, rather that only prescribe if there is a reaction. Most of us on here take enough medication as it is, and if we can drop any one of them because they are not really needed that is surely a good thing.

jerry12953 profile image
jerry12953

Do you mind me asking why you take aspirin?

My consultant told me that if you have not had a heart attack the balance of probability is that aspirin can cause more harm than good.

BaronFrankenstein profile image
BaronFrankenstein in reply to jerry12953

I had a heart attack backnin December and a stent fitted.

jerry12953 profile image
jerry12953 in reply to BaronFrankenstein

You probably need the aspirin then. He took me off aspirin as I have angina only. I fought against taking omeprazole daily for heartburn/hiatus hernia but reluctantly now take it daily. It does completely remove my symptoms which were quite unpleasant at times. Now I can eat what I want when I want, which is not necessarily a good thing!

Good luck!

Confused01 profile image
Confused01 in reply to BaronFrankenstein

The aspirin could be irritating your stomach and worsening your gastro issues. I’d ask your gp for a gastro referral so you can go through all in full making sure they know your other ailments, what you take and issues ongoing. Sometimes one thing is worsening another.

wischo profile image
wischo in reply to jerry12953

Only if you do not have considerable heart disease,! to take it as a prevention when you have no disease possibly can cause more harm than good. People who have had a stent or stents fitted are on aspirin for life whether they had a heart attack or not.

graemeparsons profile image
graemeparsons

After my heart attacks I was moved from omeprazole to pantaprazole which I take 40mg of for hiatus hernia. Had no problems. all the very best to you.

Wilko110150 profile image
Wilko110150

hi BaronFrankenstein. As far as I know from trying different ones, there are Omeprazole, Lansoprazole and Esomeprazole. There is also Famotiodine which is a different type to the other 3 but does a similar thing. You should ask your GP for an opinion. Best of luck.

Bowcat profile image
Bowcat

Hi, I take Esomeprozole tried the others but I also had side effects! This one seems to suit me but I only take when needed!All the best 😀

Hrty profile image
Hrty

Lansoprazole caused me the same problems as it did you so I was swapped to famotidine. I take clopidogrel so omeprazole wasn't considered as, I'm led to believe, it's use with clopodogrel isn't recommended.

Hammerboy profile image
Hammerboy

Hi , as a long time user of Omeprazole I was increasingly concerned about side effects . My GP basically said it was a choice between possible cancer of the oesophagus or side effects so left the choice to me . After researching PPI’s and reading the many posts on here discussing the subject I decided to wean myself off the drug so spoke again to my GP about alternatives . He suggested Nizitadine and after a month of reducing my dosage of Omeprazole gradually I started taking the alternative twice a day and then reduced that to once a day before bed . I can honestly say it’s been an easy transition and I’ve noticed a change in my bowel movements too , much less loose stools . I do get the odd bit of reflux but just take an extra capsule to settle it down or use Gaviscon for immediate relief .

With all the negative information I’ve read about long term use of PPI’s and suffering from PAF which I believe is vagally induced I’ve looked at a more sensible approach to diet and medication and I feel I’ve made the right decision going forward .

honeybubs profile image
honeybubs

yes same here Lansoprazole caused diarrhoea so now on Famotidine. Hope it gets sorted for you. X

HM24 profile image
HM24

I replaced Omeprazole with Gaviscon advanced (liquid) seemed to work just as well. I now only take very occasionally. I find there are less side effects. Have a chat with pharmacist.

GrannyE profile image
GrannyE

Do you really need Omeprazole? Some people definitely do but it all depends on how much stomach acid you have naturally. My husband takes it daily.

As one gets older your production of stomach acid can decline. That happened to me. It was my taking of Omeprazole that gave me anaemia because without stomach acid you do not metabolise the iron. This had a terrible effect on my red blood cells. That meant that the heart had to work harder to get nutrients to the cells in my body which put a strain on the heart and I ended up from being a fit person to being in a wheelchair. I eventually worked it out myself and threw the omezprazole away. A different GP prescribed iron and I started to improve BUT my heart has been affected forever. Hence A/Fib, thickened heart and an ablation. My heart will never be right again all through Omeprazole.

There is a rough and ready test you can take to check on stomach acid involving swallowing bicarb in water first thing and then waiting to see how long before you burp. You can find out about it on the web. There is another one involving litmus paper but again details on the web.

You do know that low stomach acid can relax the sphincter (valve) leading to the stomach and that can give one acid reflux. So one can get acid reflux from either too much or too little stomach acid. Again look it up on the web.

I now take a tablet containing acid and enzymes with every meal with a high protein content.

Silvertail profile image
Silvertail in reply to GrannyE

Same here. When I questioned the necessity of taking esomeprazole for reflux/hiatus hernia my doctor said it was a choice between cancer of the oesophagus or possible kidney damage.

cachaciero profile image
cachaciero

I was on omeprazole for years and because of problems of fat digestion started looking into PPI's in depth.

Basically PPI's were developed to reduce stomach acid production principally to facilitate the cure of stomach ulcers and as such is only recommended for use over a relatively short period, about 8 weeks as I recall.

All of the trials data I could find only covered this, I could not find any data on the benefits / side effects of extended use.

I was on a PPI because in common with many on here I was on asprin and clopidigral.

Why was I concerned about fat absorption? well many vitamins we get from food are carried in fat, Vitamin D and K2 being two examples, poor fat absorption equates to reduced vitamin uptake.

With out going into it all too much I stopped the PPI's I still take the asprin and clopidigral but I do so with food i.e not on an empty stomach and I have no problems, though there were some weird effects for the first couple of days after stopping the omeprazole.

Today on the rare occasions I get acid indigestion I find a couple of slices of root ginger makes everything feel "nice" again very quickly.

GrannyE profile image
GrannyE in reply to cachaciero

Ginger and peppermint are supposed to be very good for digestion and settling the stomach.

Efka profile image
Efka

Big difference between dissolvable aspirin and enteric coated aspirin also, worth a look/try.

As many above, have tried most PPIs and a few H2 blockers over the years. All have come with side effects and certainly rather horrific withdrawals (even with slow taper).

I truly hope you find a solution that works for you.

yellow731 profile image
yellow731 in reply to Efka

Whats the big difference between the 2 asprins?

Efka profile image
Efka in reply to yellow731

Hi sorry I should have explained - my understanding is the difference is where they are absorbed. So the dissolvable pills gets absorbed in the gut hence possible irritation. The costed pills which you take whole survive the acid in the gut and gets absorbed later in the intestine therefore not causing the same irritation.

The coated pills has made a huge difference here for us!

Wooodsie profile image
Wooodsie

I take nexium as and when required. Nexium is supposed to cure stomach ulcers, not just treat the symptoms which most prozols do. You can buy nexium over the counter if you want to try them. I rarely take them these days, mostly after a curry 😂

Lowerfield_no_more profile image
Lowerfield_no_more in reply to Wooodsie

Speaking from personal experience, one of the causes of gastro ulcers is the bacterium Helicobacter Pylori which for some people resides in the gastro intenstinal system. If you have the symptoms of a stomach ulcer there is a simple blood test to confirm this and if you are found to be positive you are prescribed a PPi and an antibiotic course to be taken over week. Then and after a few months you are tested again to confirm that bacterium has been eliminated from your system. So if you suspect you have a stomach ulcer or you have regular 'indigestion' which is a sign of reflux disease, go speak with your GP, since the untreated outcomes could be serious

Wooodsie profile image
Wooodsie in reply to Lowerfield_no_more

Thanks Lowerfield. I don't have symptoms nor any issues. I mentioned ulcer because many years ago I had symptoms and was prescribed lanzoprolol for a few years. I then was swapped to Nexium and was cured within a few weeks. They used to think ulcers couldn't be cured without an op, but I do know that they now know antibiotics can cure them.

ChristianeL profile image
ChristianeL

I was on Omeprazole and Lanzoprazole before too for heart failure medication side effects (mainly reflux and nausea). They didn’t work. I’m on Pantoprazole now and symptom-free. It took 4 weeks to properly kick in.

Zed1063 profile image
Zed1063

Hi

I cannot take omeprozole or lanoprozole either so I am on Famotidine and they are fine for me?

As many have said on here, the Omeprazole does reduce stomach acid, but then your food is not digested properly and has knock-on effects with iron. I use Centaurium drops, which strengthen the sphincter and help balance the stomach acid. More natural. It tastes disgusting-a bit like stomach acid-so I take it with my yogurt or in a fruit juice if I have some- usually disguise it somehow-but it works!

Qualipop profile image
Qualipop

Famotidine works in a different way. I can't takethe "azoles" either. Ask your GP.

Kazzie68 profile image
Kazzie68

Like others have said, I just eat breakfast before I take my aspirin and I’m over six years on with no problems so far, take care x

Noodlesalad profile image
Noodlesalad

Liquid Gaviscon is the only thing that works for me but I'd definitely ask your GP pharmacist first .

GeorgeGlass profile image
GeorgeGlass

proton pump inhibitors are all horrible for your health. They cause stomach pain, disruption to the digestive system. They also case cancer and heart disease.

The best way to properly solve your problem is to take: A variety of probiotics, such as align or culturaelle, etc, plus cardamom, marshmallow root, slippery elm, and drink any 4 ounces of aloe vera juice per day.

That natural treatment protocol completely healed me within two weeks. After stopping the PPI. I actually got worse from the ppis plus i know people who got cancer and heart disease from long term ppi usage.

Kylami profile image
Kylami

I also had similar problems with Omeprazole, Pantaprazole and Lansoprozole. This was back in the mid 90's, I went on a trial of what was then a relatively new antacid called Rabeprazole, it has been a game changer, and I have not had any side effects from it I have been on it since,

I take 1 x 20mg tablet a day and unlike the others there are no restrictions on when to take it. Certainly worth a try if any of the others dont agree with you.

Fastbike profile image
Fastbike

Same story as others . I was taking Lansoprazole to protect against the aspirin for 12 months after my triple bypass along with Ticagrelor and others. I suffered with severe bowel problems during that time . I was told to stop taking Ticagrelor after the 12 months so I asked if I could also go without Lansoprazole as I suspected one or both were causing my bowel problems . Things improved swiftly and I am far better without Lansoprazole . However tests showed I had severe bowel inflammation having taken these two meds . Subsequent tests are showing improvement as time goes by. I haven't had any Aspirin problems not taking Lansoprazole. I make sure I take it midway through a large bowl of porridge!! I wish I had done without Lansoprazole sooner.

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