Does Lansaprazole irritate the stomach: I am trying... - PMRGCAuk

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Does Lansaprazole irritate the stomach

marionofnorwich profile image

I am trying to work out whether or not Lansaprazole is upsetting my tummy/digestive system. I have been taking Pred fro three years now, getting down from 15mg to 4mg last year, falring and returning to 10mg now back to 4mg a year later.

I started on the standard precautionary Alendronic Acid, Ad-Cal and Lanzaprazole and something often made my abdomen bloat quite painfully to the extent that I now have a herniated belly button.

After a while (a year) I dropped Lansaprazole and eventually AA too (which I suspected for the bloating which did settle down). I don't normally have digestive problems.

So most of the time I haven't been taking Lansaprazole but occasionally I worry about what the Pred is up to invisibly and start taking it again. So I have been taking it again over the last few days, possibly prompted by a slight upset stomach which I realised (thanks to the forum) may have been caused by a switch from Ad-Cal to Calci-D which I have reverted now.

Today and yesterday I have had a very unsettled and upset feeling and the old bloated feeling (though not as bad as at the start). I am wondering if it is the Lansaprazole - but of course upset stomach is exactly what it is meant to prevent. Am I just contrary? Or is it a known side effect? Anyone know?

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marionofnorwich
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13 Replies
PMRpro profile image
PMRproAmbassador

It is a well known effect and discussed here quite often, It is said the PPIs work for about a third, for a third they have no effect and for the other third they cause unpleasane and intolerable adverse effects, Not much of a record if you ask me! It is acid productioon they affect - nothing to do to with "upset stomach"

For some it is possibly the total lack of acid that is the problem - my husband couldn't take PPIs or calcium carbonate, he practically exploded. If you want to take something then try an H2 antagonist, slightly less effective than a PPI so probably enough acid left to avoid the bloating - famotidine (OTC Pepcid) or cimetidine (OTC Tagamet) are worth trying as they have a different mechanism of action as that may also be the problem.

marionofnorwich profile image
marionofnorwich in reply toPMRpro

Thanks  PMRpro I feel as though I need a bit of a medication overhaul and am suffering from 'drug-sprawl' if there is such a thing. From supplements such as calcium, vitamin D. cod liver oil, to prescription drugs - pred of course, a statin now, blood pressure med (which I am not currently taking but probably need to as BP is high) as it also caused extreme fluid retention in my legs - at least not stomach that time. I feel as though I have a mix (as many people do) and some may be counteracting others. I feel fine on just pred, have recently accepted the statins which have at least lowered my cholesterol from 7 to 4.5 (but may have raised my BP, not sure, something has) but fear that not taking Ad-Cal in year 2 of PMR may have caused the insufficiency fracture in my knee. Until 2020, i took nothing at all. Grrrr.

marionofnorwich profile image
marionofnorwich in reply tomarionofnorwich

Sorry for the rant! Will drop the Lansaprazole again and see what happens

SnazzyD profile image
SnazzyD in reply tomarionofnorwich

I love “drug sprawl”. The ‘azoles give me upset gut and bloating.

PMRpro profile image
PMRproAmbassador in reply toSnazzyD

Great concept isn't it!

Stills profile image
Stills in reply tomarionofnorwich

’Drug sprawl ‘ this us a very way to describe it and should be included in the FAQ page 😆

marionofnorwich profile image
marionofnorwich

I often feel as though I want to reel it all in and start again...

PMRpro profile image
PMRproAmbassador in reply tomarionofnorwich

Know what you mean! Does happen though - I have got rid of 2 alarms recently with a change of medication that went from 1 that was 3x daily to a different one that is 1x daily AND can be taken at the same time as the anticoagulant! Morning and evening and pred before bed = magic!

LoveMygarden29 profile image
LoveMygarden29 in reply tomarionofnorwich

I’m feeling exactly the same! Trying to work out what is causing stomach upsets. As SnazzyD says, the ‘AZOLES’ are a no, no for me. Even Famotidine is no good. I’m having a horrible time with Methotrexate a few days after I take it. I’ve also stopped AdCal for the same reason. I started on 60mg Pred 18 months ago and now trying to last on 7.5. I am now a nervous wreck wondering what ‘tomorrow’ will bring, and whether it’s safe to be leaving out these drugs. I take about 9 things now .. I think it’s all too much for my system. Reading your message is very helpful…good luck…you are not alone x

Rachmaninov2 profile image
Rachmaninov2 in reply toLoveMygarden29

I take 9 different medications each day too, each with its own potential side effects. It’s difficult to work out which is causing what.

Stills profile image
Stills in reply toLoveMygarden29

’AZOLES’ - great terminology 😀

marionofnorwich profile image
marionofnorwich

Also the order of what to take when and what affects what. For example I have gathered that Ad-Cal affects the absorption of pred but not sure how long to leave it afterwards given that I have to take one in the morning and one in the evening. I preferred Calci-D from that point of view as just one dose per day. I generally don't end up taking my pred till around 11am which is probably not optimal either. I am at 4mg and I read somewhere (was it PMRpro ?) saying that when trying to kick in the adrenals then it is best to take pred at midnight - did I remember that correctly? But that is when I take a statin and does that affect pred? And when is the best time to fit in any other vitamin-type supplements - someone recommended NAC and someone else vitamin K2 or do they clash? So no thinking also about controlling blood pressure, there are few slots in the day left!

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply tomarionofnorwich

see this compilation re timings from FAQs -

healthunlocked.com/pmrgcauk...

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