Side effects with omeprazole/Prilosec use

Posted by blueorca @blueorca, May 5, 2018

i am an 18-year user of daily OTC Prilosec. It does a perfect job of controlling my GERD but I am constantly battling side effects of nutritional deficiencies in iron, B-12, magnesium, etc. For example, my hair is extremely thin and loss of energy is a constant problem. I am looking for specific help in knowing which supplements to take for this and in what doses and formats and on what schedule. All the nutritionists I've found locally are not well-versed in Prilosec use. Is there a medical provider out there who specializes in this? And would they be willing to work with me long distance?

Interested in more discussions like this? Go to the Digestive Health Support Group.

Profile picture for jazzgirl @jazzgirl

How high was your dose? Did your rebound acid last long? Thank you so much for reaching out.

Jump to this post

Sorry it was some years ago and I don't remember my dose. Tapering helped with the rebound. It probably took me two months or so to transition to Pepcid and then taper that but I don't recall. Hope you can do this!

REPLY
Profile picture for windyshores @windyshores

Sorry it was some years ago and I don't remember my dose. Tapering helped with the rebound. It probably took me two months or so to transition to Pepcid and then taper that but I don't recall. Hope you can do this!

Jump to this post

Thank you again. It's nice to hear other people got better .

REPLY
Profile picture for jazzgirl @jazzgirl

How high was your dose? Did your rebound acid last long? Thank you so much for reaching out.

Jump to this post

It was actually my dad who was/is recovering from a stroke. I believe he was taking 20 mg, twice a day.

I basically did a ton of Googling and used this as a reference from the VA: https://www.va.gov/wholehealthlibrary/tools/coming-off-a-proton-pump-inhibitor.asp#:~:text=Slowly%20taper%20off%20the%20PPI,technique%20such%20as%20deep%20breathing.

There are some suggestions for supplements that can help with dyspepsia and acid reduction. Specifically, my dad takes Iberogast, which is an herbal blend that’s been clinically studied for use for dyspepsia and IBS. It’s over the counter but for some reason unknown to me, it isn’t available in the US but is available widely in Canada and Europe. It was recommended by my dietician. We order it online from Northern Vitality.

It was a while ago, but I think it went something like this:

-Alternate taking 40 and 20 mg for two weeks.

-Then take 20 mg every day for 2 weeks.

-Alternate 20 mg every other day.

-Take 20 mg 3x a week, then twice a week, then after that he stopped.

The rebound acid was maybe 2 weeks? But he was also taking the Iberogast.

Hope that helps!

REPLY
Profile picture for emo @emo

It was actually my dad who was/is recovering from a stroke. I believe he was taking 20 mg, twice a day.

I basically did a ton of Googling and used this as a reference from the VA: https://www.va.gov/wholehealthlibrary/tools/coming-off-a-proton-pump-inhibitor.asp#:~:text=Slowly%20taper%20off%20the%20PPI,technique%20such%20as%20deep%20breathing.

There are some suggestions for supplements that can help with dyspepsia and acid reduction. Specifically, my dad takes Iberogast, which is an herbal blend that’s been clinically studied for use for dyspepsia and IBS. It’s over the counter but for some reason unknown to me, it isn’t available in the US but is available widely in Canada and Europe. It was recommended by my dietician. We order it online from Northern Vitality.

It was a while ago, but I think it went something like this:

-Alternate taking 40 and 20 mg for two weeks.

-Then take 20 mg every day for 2 weeks.

-Alternate 20 mg every other day.

-Take 20 mg 3x a week, then twice a week, then after that he stopped.

The rebound acid was maybe 2 weeks? But he was also taking the Iberogast.

Hope that helps!

Jump to this post

That looks like another good taper. Using Pepcid with that taper may also help. It is shorter acting and can eventually be taken only as needed.

REPLY
Profile picture for jazzgirl @jazzgirl

How high was you dose?Did your rebound acid last long? Thank you so much for everyones advice.

Jump to this post

There’s a strong collection of experiences here that should help you decide on a taper path. Good luck!!

REPLY
Profile picture for jazzgirl @jazzgirl

Has anyone weaned off of 80mg ? I take 40mg in the morning and 40mg with dinner. My doctor wants me to stop taking the evening 40mg every other day and use pepcid instead on those days . and then stop evening dose completely after two weeks. I'm concerned that's too fast I stoped cold turkey with only 20mg and had severe acid reflux that's why My gi doctor put me on 80mg.

Jump to this post

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

REPLY
Profile picture for jazzgirl @jazzgirl

Has anyone weaned off of 80mg ? I take 40mg in the morning and 40mg with dinner. My doctor wants me to stop taking the evening 40mg every other day and use pepcid instead on those days . and then stop evening dose completely after two weeks. I'm concerned that's too fast I stoped cold turkey with only 20mg and had severe acid reflux that's why My gi doctor put me on 80mg.

Jump to this post

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!

REPLY
Profile picture for baguette @baguette

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!

Jump to this post

I cut Pepcid pills, if that helps.

REPLY
Profile picture for windyshores @windyshores

I cut Pepcid pills, if that helps.

Jump to this post

The generic Nexium I took were capsules and you can’t divide those.

REPLY
Profile picture for jazzgirl @jazzgirl

Has anyone weaned off of 80mg ? I take 40mg in the morning and 40mg with dinner. My doctor wants me to stop taking the evening 40mg every other day and use pepcid instead on those days . and then stop evening dose completely after two weeks. I'm concerned that's too fast I stoped cold turkey with only 20mg and had severe acid reflux that's why My gi doctor put me on 80mg.

Jump to this post

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.

REPLY
Please sign in or register to post a reply.