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DiscussionSide effects with omeprazole/Prilosec use
Digestive Health | Last Active: Sep 26 10:44am | Replies (793)Comment receiving replies
Replies to "Has anyone weaned off of 80mg ? I take 40mg in the morning and 40mg with..."
So on PPI's our body makes more acid to compensate, so when we try to stop we are worse off then when we started.
I did successfully wean off. I would not follow any prescribed regimen but go with how you feel. If you have bad symptoms, backtrack and move more slowly.
I did replace omeprazole with Pepcid, slowly, over time, replacing one dose every other day, as your doc suggested, and sticking with that for a couple of weeks. Once you are on Pepcid only you can gradually taper that as well.
I don't eat after 5pm and am careful about what I eat then. Even water before bed can cause issues. I mostly use Tums at this point but sometimes pop 1/2 Pepcid or even a whole on (20mg). I tend to have periods when it is worse. If I do Pepcid for more than 3 days in a row, I taper again.
It's trite but "listen to your body." It sounds like you have a good doc. I know too many on PPI's long term with no advice on how to get off and your doc sounds like they have the right idea and would no doubt be fine with you customizing the taper.
Echoing the others here...if you feel the pace your doctor is recommending, I would slow it down. It's completely okay for you to disagree with your doctor and/or listen to your body (though I know that sounds cheesy).
I personally haven't weaned off PPIs, but I had to wean my father off it because annoyingly they prescribed it to him in the hospital preventatively at high doses and we weren't aware of it. He's really sensitive to medications (as am I), and we reduced it as slowly as was possible without driving ourselves crazy splitting tablets or capsules.
I'm extremely sensitive to medication (I literally have a health condition and that is one of the symptoms), so even when I have to work up to a dose, I have to go more slowly than the average person. I prefer that to nasty side effects that could last longer though.
You can always reduce the dosage more quickly if you find you're not experiencing side effects, but if you go too fast, you could get really, really uncomfortable. And if you can look into other lifestyle or diet changes that you might be able to amp up to help compensate for any possible increase in acid reflux you experience while you're going off it, that could help?
I use OptiMag 125 and K+2Potassium in the evening. Medication is a foreign substance in our bodies and if you read the labels of most laxatives they say not to take for more than a week. Consider adding a Naturopath to your health team. Good luck, @farmersmith
Check with your pharmacist as to whether you can cut your pills in half. If you can, you can go for example from 20 mgs to 10 mgs. I could cut my pills and eventually quartered them. If you need to taper more slowly, see if you can get a prescription for a compounding pharmacy. That way the pills can be made to order. Good luck!
Nexium is a PPI. Pepcid is an histamine-2 blocker. I cut Pepcid after tapering the PPI and transitioning to Pepcid, then I tapered off the Pepcid by cutting the pill in 1/2 then 1/4.
Stopping cold turkey is always a problem. The advice above regarding tapering is good (for example the VA link and others). Since your dosage was raised, I suggest you also lower the dose to 20 mg omeprazole twice a day but do it slowly. I completely got off Nexium (like omeprazole) and famotidine (pepcid) by switching the AM nexium once a week to famotidine, and then every few days and slowly lowered it to every other day and after that I was able to also stop the famotidine in the AM. I then took a probiotic in the morning instead. I was taking famotidine at night and that I stopped gradually as well, and replaced with taking melatonin before bed. (depending on your age, this may make sense for you. melatonin levels are lower as you age) If there was some acid rebound, I took Gaviscon Advance at night, and Tums as needed. Do it as slowly as you need to, realize you may have some rebound but it will straighten out in a few weeks as long as you don't make a drastic reduction all at once.
Thanks @windyshores for that reminder. Not everyone takes the same path with their lifestyle, food choices and health practitioners. Even then there is no guarantee regarding many health conditions. I am sorry our medical system is not very open to the values awaiting us with Naturopathic care and am hopeful more people discover the value of its holistic, functional, integrative health care value. Thanks @farmersmith, sorry for being slow on the uptake of the pill splitting! lol Best to your daughter and her healthy life!
Hi. I too have had to wean off of a ppi at large doses. My dr did it much slower. My weaning was over 4 months. So had no side effects. Good luck! It will get better. I’m on Pepcid now. It definitely helps. Changed my diet and sleep on an incline with several pillows. You’ve got this! 😊😊😊😊😊😊
Dependence on omeprazole needs to be reduced gradually. I used to take one pill (20mg) a day, but now I hardly take omeprazole, and instead I take Pepcid (10mg) once every two days.
Does anyone have a name of a doctor that could weaned me off slower ?