Timing of PPI and Pred: Hi ladies and gents- just a... - PMRGCAuk

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Timing of PPI and Pred

Lyndalou62 profile image
37 Replies

Hi ladies and gents- just a very quick question- How long a gap should be left after taking PPI before taking Pred.

Sorry if this has been asked many times before- I tried to do a search for the answer but I am a novice on here and couldnt find the answer.

Thanks 🙂

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Lyndalou62 profile image
Lyndalou62
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37 Replies
Songbird69 profile image
Songbird69

Hi Lyndalou, I was advised to leave 2 hours before or after taking the Pred. Good luck!

Lyndalou62 profile image
Lyndalou62 in reply toSongbird69

Thanks so much for your quick responce- I will try that 😊

TheMoaningViolet profile image
TheMoaningViolet

I always had it with a glass of water before my breakfast and then I took Prednisolone with breakfast. It worked perfectly fine that way.

Lyndalou62 profile image
Lyndalou62 in reply toTheMoaningViolet

Thanks for the advice 👍

Purpleazalia profile image
Purpleazalia

My pharmacy label says to take it 30-60 mins before food (food being breakfast with pred)

Lyndalou62 profile image
Lyndalou62 in reply toPurpleazalia

Thankyou😊

Retallack profile image
Retallack

My pharmacy label (Omeprazole) says to take with or after a meal so I take the Pred with breakfast and Omeprazole with lunch.

York54 profile image
York54

Hello Lyndalou, I take my PPI half an hour before my breakfast, then Pred after my breakfast. That works for me 👍👍👍👍

I take mine first thing...leave a little gap, have b/fast, then take Pred. Decided to only take omeprazole every other day as they're not good for us either...but then what drug is. The only drug we take for our bones has to be taken on a empty stomach and stand for 30 minutes, then eat, then Pred.....what a palaver!!

Marcy47 profile image
Marcy47 in reply to

You don't have to stand for 30 mins, just not lay down.

jinasc profile image
jinasc

Did you have stomach problems before you had PMR or were you given them plus AA etc routinely when first diagnosed?

If so, you can take a pro biotic yogurt and a teaspoonful of Manuka Honey just before taking your pred and this gives you stomach protection.

I decided VERY PERSONAL DECISION when I ran into problems with the Ad Cal to stop taking all the 'just in cases'. Medics not pleased, but I just explained that if and when I ran into a problem then my decision might change.

Suffererc profile image
Suffererc in reply tojinasc

I think I have problems with Adcal too. The recommended intake for calcium is 500 and my score was 1042. Been fine until about a year ago when chest pains started then shortly after my heart started to race. Had checks and nothing said. A few weeks ago the chest pains got worse and the racing heart was on and off all day and night. Eliminated coffee and tea, although I drink decaf and nothing happened. Then read something about calcium so decided to drop it. (Radiographer that did my Dexa said I didn't need calcium, but never took much notice). Low and behold chest pains have gone and heart has stopped racing. Have bought vitamin D tabs myself. Because of the surgery situation I think I have been left to my own devices with the help and support on here.

jinasc profile image
jinasc in reply toSuffererc

Too much calcium and I ended up with Pseudo Gout and 6 years later Gall Stones, the extra grit eventually gathers together and forms stones.

Personally I don't think 'just in cases' should be handed out like sweeties. Levels should be checked before drugs are dished out willy nilly.

A standard blood test last time I asked was around £14.........£20 for a full spectrum one.

My GP always orders me a full spectrum he learned that a full spectrum is better than an argument. I am also sure that a full spectrum blood test must be cheaper than handing out drugs willy nilly.

Suffererc profile image
Suffererc in reply tojinasc

Thank you. Are you in U.K. I am taking one tablet a day at the moment (1000 I.U). I have not discussed with GP yet. Think it a bit trivial in the present times. I am sorted with the chest pains and rapid heart beat. Not sure GP will agree. Is it safe to up the dose .

PMRpro profile image
PMRproAmbassador in reply toSuffererc

I take 4000 IU - generally accepted as the upper sort of range that is absolutely safe without testing but also the level that is being recommended by many experts who support the vit D thesis. and especially in the winter when there is no chance of sun supplementation. There is gathering evidence that it is a safe and probably very useful weapon in the Covid story too.

jinasc profile image
jinasc in reply toSuffererc

Yes I am in UK..............you can read my profile.

I have taken 25ug Vit D every day for over 8 years - I ran into Vit Deficiency when on Pred for GCA 3 years down the line.

in reply toSuffererc

Take a D3 quite a high mg, I take 3000mg daily with a K2 an magnesium

Suffererc profile image
Suffererc in reply to

I am taking 1000IU at present and K2. Haven’t discussed with GP yet. But all discomfort gone. Thank you for replying 😊

in reply toSuffererc

You're very welcome....don't forget the Magnesium, very important to take with these two too. Doctors know very little about supplementation, so don't be surprised her/she won't know. They do know though that many are deficient in D3, they don't know they should be accompanied with a K2 and Mag. I get all my advice from my friend who is a nutritionist and has studied supplement. Zinc shouldn't be take every day as that can depletes our copper....quite involved !!

Suffererc profile image
Suffererc in reply to

How often do you take magnesium. Can’t we get it naturally with our food x

in reply toSuffererc

Well, we can get everything naturally in our food. I posted what my friend said about that last year. so much goodness we lose from our food. Because I've been taking these supplements for years now I tend these days to take them every other day, as I know my D3 level is now good. I'll ask my friend the reason for Magnesium and will let you know.

PMRpro profile image
PMRproAmbassador in reply to

Except vit D!

Suffererc profile image
Suffererc in reply to

Thank you 😊

in reply toSuffererc

Send me your email address and I'll forward Karen's post on Magnesium. To: anne.westover8@gmail.com

sennetta profile image
sennetta in reply tojinasc

I did exactly the same, but I didn't tell the medics.....I did however, hand them back to the surgery pharmacist with a big smile and a polite no "thank you" I think if I'd accepted all the just in cases I'd have been on 6 medications! Nuts.

I tapered off the pred and declared independence 2.5 years after it (PMR) all kicked off with no other ill effects.

Lyndalou62 profile image
Lyndalou62 in reply tojinasc

Hi- I was already on Lanzoprazole for indigestion- i just wasnt sure if the PPI taken too close together might interact with the pred.

in reply tojinasc

No probs with tummy before diagnosis or since. Just doing as I'm told LOL. That's why I only take PPl when I think I will. In fast I burp more after taking it. I have been diagnosed with osteopenia, so I take what's called Risendronate 35 mg, refused to take the 70 mg Alendronic Acid. On the leaflet it says to stand for 30 minutes, so I stand and look at my facebook messages, the time goes so quickly. As for the Adcal I only take one once a day instead of two as prescribed. What happens to you when you take the Adcal ?

Suffererc profile image
Suffererc

What is PPI please😊

jinasc profile image
jinasc in reply toSuffererc

Proton Pump Inhibitor.

There is a list of abbreviations in the pinned posts. You might have missed it......like we all do.

sennetta profile image
sennetta in reply toSuffererc

proton pump inhibitor -evil things imo

Bcol profile image
Bcol in reply tosennetta

Only "evil" if they don't work for you, work perfectly for some and are the lesser of the evils for others.

sennetta profile image
sennetta in reply toBcol

That's fair comment Bcol, but I struggle to understand how resulting kidney failure can be the lesser of any evil. This happened to a friend of mine who, ironically, is a retired renal transplant surgeon.

Bcol profile image
Bcol in reply tosennetta

I agree its very hard and sad to comprehend but I guess there will always be someone where the results don't work out as expected or have totally unexpected outcomes. Irresponsible prescribing is a different matter of course. Lack of knowledge of some of our professionals, with regard to our problems, would appear to be a fairly common occurance, but whether that is a training or intransigence problem I wouldn't like to comment.

sennetta profile image
sennetta in reply toBcol

PPI's seem to handed out as statins are - viz-like Smarties-and there other effective ways of treating these problems without lining the coffers of the pharmaceutical companies

Lyndalou62 profile image
Lyndalou62 in reply toSuffererc

Just a shorter way of saying omeprazole etc - they are all proton pump inhibiters😊

PMRpro profile image
PMRproAmbassador

A PPI (omeprazole for example) should be taken 30-60 mins before a meal on an empty stomach. I don;t think it would hurt to take the pred at the same time but it is better taken with food.

I take omprezole around 6.30-7 with blood pressure tablets then around 8.30 I take pred with breakfast then my edcal calcium/vit d which is 1500/400 I take twice a day around 11am and 7pm

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