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Laryngopharyngeal Reflux (LPR) – Symptoms, Risk Factors, Causes and Diagnosis

Categories:
silent gerd symptoms

 

Gastroesophageal Reflux Disease (GERD) is a common condition where stomach acid flows back into the esophagus, but not all cases present with the classic symptom of heartburn. Silent GERD, also known as Laryngopharyngeal Reflux (LPR), can manifest in various ways that are less obvious. Here’s what you need to know about the symptoms of silent GERD.

Silent reflux, also known as Laryngopharyngeal reflux (LPR), is a condition in which stomach acid flows back up the esophagus (swallowing tube) into the larynx (voice box) and throat. LPR is called silent reflux because it often does not cause any symptoms in the chest.

Symptoms of LPR

Laryngopharyngeal Reflux (LPR) presents in various ways, and identifying these symptoms early is critical for effective management. According to the National Library of Medicine, here are all the possible symptoms of LPR:

  • Chronic cough or excessive throat clearing
  • Vocal Cord Irritation
  • Postnasal drip
  • Dysphagia
  • Coughing after eating or lying down
  • Breathing difficulties or choking episodes
  • Throat Sensation
  • Throat Discomfort
  • Globus sensation

Important: If you are experiencing persistent or severe symptoms of LPR, such as chronic cough, hoarseness, difficulty swallowing, or chest pain, do not delay seeking medical advice. These symptoms can indicate a more serious condition and require proper diagnosis and treatment from a healthcare professional.

Risk Factors

Several factors can increase the risk of developing LPR, but understanding the risks can empower you to make positive changes for your health:

  • Obesity and Excess Body Weight – Managing weight can help reduce abdominal pressure and improve overall well-being.
  • Hiatal Hernia – A hiatal hernia happens when the top of your stomach bulges through an opening in your diaphragm. Simple lifestyle adjustments can often alleviate symptoms effectively.
  • Smoking – Quitting smoking not only strengthens the lower esophageal sphincter but also brings countless benefits to your health.
  • Pregnancy – This is a temporary phase, and many find relief through tailored dietary and lifestyle choices.
  • Certain Medications – If you suspect your medications might contribute, discussing alternatives with your healthcare provider can make a difference.
  • Dietary Choices – Choosing a balanced diet and avoiding triggers like fatty, spicy, or acidic foods can support a healthier digestive system while still enjoying delicious and satisfying meals.

By identifying these factors, you can take proactive steps toward better digestive health and overall wellness.

Causes

The causes of silent GERD are similar to those of GERD but may be more subtle:

  • Weak Lower Esophageal Sphincter (LES)
  • Hiatal Hernia
  • Abnormal Esophageal Contractions
  • Delayed Stomach Emptying (Gastroparesis)
  • Increased Abdominal Pressure
  • Obesity and Excess Body Weight
  • Pregnancy
  • Smoking
  • Certain Medications
  • Dietary Factors

When to Contact Your Physician?

If you are experiencing any of the above-mentioned symptoms, it is crucial to contact your physician. They may prescribe medications such as proton pump inhibitors (e.g., omeprazoleesomeprazolelansoprazole) or refer you to a gastroenterologist for further testing.

Diagnosis

Diagnosing silent reflux is challenging due to the lack of a definitive diagnostic test. Silent reflux is characterized by gastric contents refluxing into the pharynx or larynx, causing symptoms like chronic throat clearing, hoarseness, and a globus sensation. These symptoms often overlap with other conditions, making accurate diagnosis critical yet complex.

Initial Diagnostic Approaches

The process often begins with a consultation involving both an otolaryngologist and a gastroenterologist. Flexible laryngoscopy is a cornerstone test, helping to exclude other laryngeal pathologies like allergic rhinitis or sinusitis. Additionally, ambulatory reflux monitoring is essential to assess esophageal reflux burden. Experts recommend conducting this test without prior acid-suppressive therapy to ensure accurate results. Notably, up to 60% of patients with isolated laryngeal symptoms might not exhibit gastroesophageal reflux disease (GERD), emphasizing the need for tailored diagnostic strategies.

Challenges in LPR Diagnosis

The absence of heartburn or regurgitation in many silent reflux patients further complicates the diagnosis. Patients often undergo multiple consultations and tests before a conclusion is reached. Research indicates that the best outcomes occur when objective findings, such as disrupted anti-reflux barriers or elevated esophageal acid burdens, are present. Despite advancements, identifying true silent reflux cases remains an evolving field that requires further study.

Treatment Options

Once diagnosed, treatment options span lifestyle modifications, pharmacological interventions, and, in severe cases, surgical procedures. The choice of treatment depends on the severity of symptoms and the presence of objective reflux indicators. Further research and clinical consensus are needed to refine the diagnostic criteria and therapeutic pathways for silent reflux.

Potential Complications

If left untreated, LPR can lead to more serious health conditions, including:

  • Esophagitis – Esophagitis is the inflammation or damage to the esophagus lining.
  • Esophageal Ulcers or Strictures – Untreated LPR can result in painful complications that may affect eating and drinking habits.

Managing GERD symptoms early is the best way to prevent long-term health issues.

Final Words 

LPR symptoms can significantly impact your quality of life, but it is manageable with the right approach. Whether you’re dealing with heartburn or silent symptoms, early recognition and treatment are key.

Visit your doctor for proper diagnosis, and consider trusted medications to alleviate discomfort. 

Sources:

Krause AJ, Walsh EH, Weissbrod PA, Taft TH, Yadlapati R. An update on current treatment strategies for laryngopharyngeal reflux symptoms. Ann N Y Acad Sci. 2022 Apr;1510(1):5-17. doi: 10.1111/nyas.14728. Epub 2021 Dec 17. PMID: 34921412; PMCID: PMC9012673.

Cui N, Dai T, Liu Y, Wang YY, Lin JY, Zheng QF, Zhu DD, Zhu XW. Laryngopharyngeal reflux disease: Updated examination of mechanisms, pathophysiology, treatment, and association with gastroesophageal reflux disease. World J Gastroenterol. 2024 Apr 28;30(16):2209-2219. doi: 10.3748/wjg.v30.i16.2209. PMID: 38690022; PMCID: PMC11056915.

Smith RE, Sharma S, Shahjehan RD. Hiatal Hernia. [Updated 2024 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK562200/

Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.Barrett esophagus. [Updated 2022 Jul 30]. Available from:https://medlineplus.gov/ency/article/001143.htm

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Prevacid Solu Tab

Prevacid Solu Tab (lansoprazole)

Indications

  • Gastroesophageal Reflux Disease (GERD): Prevacid Solu Tab is used to treat GERD, a condition where stomach acid frequently leaks into the esophagus, causing irritation and discomfort. It helps reduce acid production to relieve symptoms such as heartburn and regurgitation.
  • Peptic Ulcers: It is indicated for the treatment of peptic ulcers, which are open sores that develop on the lining of the stomach, small intestine, or esophagus. Prevacid Solu Tab promotes healing of these ulcers by reducing stomach acid.
  • Zollinger-Ellison Syndrome: Prevacid Solu Tab is used to manage Zollinger-Ellison syndrome, a rare condition where the stomach produces excessive amounts of acid due to tumors in the pancreas or duodenum.
  • Helicobacter pylori Eradication: It can be used in combination with antibiotics to eradicate Helicobacter pylori infection, which is associated with peptic ulcers.

Ingredients

  • Active Ingredient: Lansoprazole.
  • Inactive Ingredients: Sodium bicarbonate, mannitol, microcrystalline cellulose, sodium lauryl sulfate, crospovidone, silicon dioxide, and various flavors and sweeteners.

Dosage and Administration

  • Take Prevacid Solu Tab exactly as prescribed by your healthcare provider. The dosage and duration will depend on your specific condition.
  • Disintegrate the tablet on your tongue before swallowing it with a glass of water. The tablet should dissolve in your mouth without the need for chewing.
  • Take Prevacid Solu Tab before meals to maximize its effectiveness in reducing stomach acid.
  • Avoid breaking or crushing the tablet; it is designed to dissolve in your mouth.
  • Do not skip doses; take Prevacid Solu Tab consistently at the same time each day to maintain its effectiveness.
  • Do not stop taking Prevacid Solu Tab suddenly without consulting your doctor, as this may cause a return of your symptoms.

Mechanism of Action

Prevacid Solu Tab contains Lansoprazole, a proton pump inhibitor (PPI) that works by blocking the proton pumps in the stomach lining. These proton pumps are responsible for producing stomach acid. By inhibiting their function, Lansoprazole reduces the amount of acid produced, which helps alleviate symptoms and allows for the healing of acid-related damage to the esophagus and stomach.

Contraindications

  • If you are allergic to Lansoprazole or any other ingredient in Prevacid Solu Tab, you should not take this medication.
  • Avoid using Prevacid Solu Tab if you are currently taking medications that interact adversely with PPIs, such as certain antifungal drugs or blood thinners.
  • Do not use Prevacid Solu Tab if you have a history of severe liver disease, as it may exacerbate liver problems.
  • If you have a known sensitivity to similar medications (e.g., omeprazole or esomeprazole), Prevacid Solu Tab should be avoided.

Side Effects

Common Side Effects:

  • Headache
  • Diarrhea
  • Nausea
  • Abdominal pain
  • Constipation

Serious Side Effects:

  • Severe allergic reactions (e.g., rash, itching, swelling, severe dizziness)
  • Severe stomach pain
  • Unusual tiredness or weakness
  • Persistent diarrhea
  • Signs of liver problems (e.g., yellowing of the skin or eyes)

Precautions

  • Monitor for signs of an allergic reaction, including rash or swelling, and seek immediate medical attention if they occur.
  • Use Prevacid Solu Tab with caution if you have a history of liver problems, as it may require dose adjustments or close monitoring.
  • Long-term use of Prevacid Solu Tab may lead to vitamin B12 deficiency; your doctor may recommend periodic monitoring.
  • Inform your healthcare provider if you experience any persistent or severe gastrointestinal symptoms.
  • Avoid alcohol and smoking, as they can exacerbate acid-related conditions.

Storage Instructions

  • Store Prevacid Solu Tab at room temperature, between 20°C and 25°C (68°F and 77°F).
  • Keep the tablets in their original packaging to protect them from moisture and light.
  • Keep Prevacid Solu Tab out of reach of children to prevent accidental ingestion.
  • Dispose of unused or expired tablets responsibly, following your pharmacist’s advice or local disposal regulations.

Why Choose Our Online Pharmacy for Prevacid Solu Tab?

Authenticity and Safety

Certified Authenticity: PrescriptionPoint is accredited by CIPA and IPABC, guaranteeing that every drug we offer is genuine and safe.

Prescription Requirement: We prioritize your well-being by requiring a valid prescription from a healthcare provider, ensuring that Prevacid Solu Tab is suitable for your condition.

Cost and Savings

Affordable Pricing: PrescriptionPoint provides some of the most competitive prices for Prevacid Solu Tab online, helping you reduce your drug expenses.

Generic Alternatives: Besides the brand-name Prevacid Solu Tab, we offer generic Lansoprazole, which is just as effective and more budget friendly.

Customer Service

Our committed customer service team is always available to help with any questions or issues, ensuring a seamless purchasing experience.

Positive Reviews

PrescriptionPoint boasts a strong record of satisfied customers, as demonstrated by numerous positive reviews and testimonials.

How to Order Prevacid Solu Tab Online in Canada?

Online

You can easily buy Prevacid Solu Tab or its generic alternative Lansoprazole on our website, www.prescriptionpoint.com.

Phone

For personalized assistance, you can place your order for Prevacid Solu Tab by speaking with one of our friendly customer support representatives. Just call us on +1-877-244-0431, and we will be happy to assist you.

Fax

If you prefer using fax, you can send your prescription and details to our secure fax line at +1-877-453-0921. We ensure quick and confidential processing of your order.

References

https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020406s083,021428s031lbl.pdf

Prevacid

The Prevacid medication above is manufactured by Various Generic.

In the US, Customers can order Prevacid online as well as many more quality medications from PrescriptionPoint.com. Our online pharmacy allows you to purchase medication 24 hours a day and 7 days a week.

Thank you for choosing PrescriptionPoint.com. Our products are guaranteed delivered through timely, reliable, and safe shipping. It takes approximately 2 to 4 weeks from the day you order it to arrive at your house. All orders placed on our SSL (Secure Socket Layer) secured website are backed by the BuySAFE security seal which offers a third-party guarantee of your purchase, and $10,000 in identity theft protection.

PrescriptionPoint.com proudly displays its CIPA (Canadian International Pharmacy Association) seal to signal that we conform to nothing but the highest standards for quality. Our CIPA affiliate pharmacies are recognized globally as the first choice in prescription and non-prescription medicine. PrescriptionPoint.com guarantees the best price for Prevacid and will beat any other price found on a CIPA certified website for the same drug by 5 dollars.

A prescription must be provided for Prevacid as with all prescription medicine here at PrescriptionPoint.com. The customer must fax a copy of their prescription and following that the customer must mail the actual original prescription to PrescriptionPoint.com. No exceptions.

If you have any questions regarding medication or basic inquires about PrescriptionPoint.com you can contact us by mail, phone or internet. If you wish to speak to a representative be sure to call our toll free number 1-877-244-0431 from Monday to Friday from 6am to 6pm and Saturdays from 7am to 4pm.

Patient Family Information  :

Sever Side Effects :

Prevacid | Lansoprazole | Prevacid | Lansoprazole

Prevacid DR

The Prevacid DR medication above is manufactured by Abbott Laboratories.

In the US, Customers can order Prevacid DR online , or as the generic alternative, Lansoprazole as well as many more quality medications from PrescriptionPoint.com. Our online pharmacy allows you to purchase medication 24 hours a day and 7 days a week.

Thank you for choosing PrescriptionPoint.com. Our products are guaranteed delivered through timely, reliable, and safe shipping. It takes approximately 2 to 4 weeks from the day you order it to arrive at your house. All orders placed on our SSL (Secure Socket Layer) secured website are backed by the BuySAFE security seal which offers a third-party guarantee of your purchase, and $10,000 in identity theft protection.

PrescriptionPoint.com proudly displays its CIPA (Canadian International Pharmacy Association) seal to signal that we conform to nothing but the highest standards for quality. Our CIPA affiliate pharmacies are recognized globally as the first choice in prescription and non-prescription medicine. PrescriptionPoint.com guarantees the best price for Prevacid DR and will beat any other price found on a CIPA certified website for the same drug by 5 dollars.

A prescription must be provided for Prevacid DR as with all prescription medicine here at PrescriptionPoint.com. The customer must fax a copy of their prescription and following that the customer must mail the actual original prescription to PrescriptionPoint.com. No exceptions.

If you have any questions regarding medication or basic inquires about PrescriptionPoint.com you can contact us by mail, phone or internet. If you wish to speak to a representative be sure to call our toll free number 1-877-244-0431 from Monday to Friday from 6am to 6pm and Saturdays from 7am to 4pm.

Prevacid/Lansoprazoleis a medication used to treat and prevent stomach and intestinal ulcers, erosive esophagitis, and other conditions relating to excessive stomach acids (ie. Zollinger-Ellison syndrome). It works by decreasing the amount of acid produced in the stomach.

Store at room temperature. Protect from moisture and heat.

Before using this medicine, tell your health care provider about any of the following: if you are pregnant, planning to become pregnant, or breastfeeding; if you are taking any prescription or nonprescription medicine; if you are allergic to any drugs; if you have any type of liver disease; if you have phenylketonuria.

Do not give this medication to children under the age of 1 year old. When taking Prevacid/Lansoprazole, avoid taking other medication such as sucralfate (Carafate) at the same time, wait 30 mins after taking Prevacid/Lansoprazole because your body will not be able to absorb Prevacid/Lansoprazole very well.

Patient Family Information  : Take Prevacid/Lansoprazole with a full glass of water before a meal. Swallow the pill whole, do not crush or open the capsule. If it is difficult to swallow the pill whole, open the capsule to sprinkle the medicine into a spoonful of pudding, applesauce, yogurt, cottage cheese, strained pears, or in a nutritional drink (ie. Ensure) and swallow the mixture immediately. Do not chew or save the mixture for later use. Prevacid/Lansoprazole can also be sprinkled into a 2 oz drink such as apple, orange, or tomato juice. Drink the juice immediately, add more juice in the same glass, swirl the juice around the glass and drink right away.

Do not take Prevacid/Lansoprazole if you are allergic to lansoprazole.

Sever Side Effects : Most severe: Allergic reaction such as hives, difficulty breathing, swelling of your face, lips, tongue or throat.

Most common: Headache, nausea, stomach pain, diarrhea, or constipation

Other: None.

Prevacid DR | Lansoprazole | Prevacid DR | Prevacid

Tagamet

Tagamet (cimetidine)

Indications

  • Tagamet (cimetidine) tablets are used to treat and prevent various gastrointestinal conditions, including:
  • Duodenal Ulcers: Reduces stomach acid to promote healing of ulcers in the upper part of the small intestine.
  • Gastric Ulcers: Helps heal ulcers in the stomach lining.
  • Gastroesophageal Reflux Disease (GERD): Alleviates symptoms of heartburn and acid reflux by reducing stomach acid.
  • Zollinger-Ellison Syndrome: Treats this rare condition where the stomach produces too much acid due to tumors in the pancreas or duodenum.
  • Erosive Esophagitis: Helps heal inflammation of the esophagus caused by stomach acid.

Ingredients

  • Active Ingredient: Cimetidine
  • Inactive Ingredients: Magnesium stearate, Microcrystalline cellulose, Hydroxypropyl methylcellulose, Titanium dioxide, Polyethylene glycol, Corn starch, Stearic acid

Dosage and Administration

  • Take Tagamet exactly as prescribed by your healthcare provider.
  • Swallow the tablet whole with a full glass of water.
  • Take the medication with meals or at bedtime to maximize its effectiveness.
  • Follow your doctor’s instructions regarding the dosing schedule, which may vary based on your condition.
  • Inform your doctor about all other medications or supplements you are taking to avoid potential interactions.
  • Do not skip doses; if you miss a dose, take it as soon as you remember unless it is almost time for your next dose.
  • Avoid stopping Tagamet suddenly without consulting your healthcare provider, as this can worsen your condition.
  • Do not consume alcohol while taking Tagamet, as it can increase the risk of stomach irritation.
  • Avoid taking over-the-counter medications that may interact with Tagamet without consulting your healthcare provider.

Mechanism of Action

Tagamet is an H2 receptor antagonist. It works by blocking histamine H2 receptors in the stomach lining, which reduces the production of stomach acid. This helps to relieve symptoms of acid-related conditions, promote healing of ulcers, and prevent further damage to the esophagus and stomach lining.

Contraindications

  • Do not use Tagamet if you are allergic to cimetidine or any of the inactive ingredients in the tablet.
  • Avoid taking Tagamet if you have a history of liver or kidney disease without consulting your healthcare provider.
  • Inform your doctor if you have a history of blood disorders or immune system problems before starting Tagamet.
  • Do not take Tagamet if you are pregnant or breastfeeding unless advised by your healthcare provider.

Side Effects

Common Side Effects:

  • Headache
  • Dizziness
  • Diarrhea
  • Nausea
  • Fatigue
  • Rash

Serious Side Effects:

  • Severe allergic reactions (e.g., rash, itching, swelling of the face or throat, difficulty breathing)
  • Confusion or hallucinations, especially in older adults
  • Irregular heartbeat or chest pain
  • Severe muscle pain or weakness
  • Symptoms of liver problems (e.g., yellowing of the skin or eyes, dark urine, severe abdominal pain)
  • Unusual bleeding or bruising

Precautions

  • Inform your doctor about any other medical conditions you have, especially liver or kidney disease, blood disorders, or immune system problems.
  • Regularly monitor your kidney and liver function as advised by your healthcare provider.
  • Use caution if you are an older adult, as you may be more susceptible to side effects such as confusion or hallucinations.
  • Avoid activities that require alertness, such as driving or operating machinery, until you know how Tagamet affects you.
  • Follow your doctor’s dietary recommendations, particularly regarding caffeine and spicy foods, as they can affect your condition.

Storage Instructions

  • Store Tagamet tablets at room temperature between 20°C to 25°C (68°F to 77°F).
  • Keep the tablets in the original packaging to protect them from moisture and light.
  • Keep out of reach of children and pets.

Why Choose Our Online Pharmacy for Tagamet?

Authenticity and Safety

Certified Authenticity: PrescriptionPoint is accredited by CIPA and IPABC, guaranteeing that every drug we offer is genuine and safe.

Prescription Requirement: We prioritize your well-being by requiring a valid prescription from a healthcare provider, ensuring that Tagamet is suitable for your condition.

Cost and Savings

Affordable Pricing: PrescriptionPoint provides some of the most competitive prices for Tagamet online, helping you reduce your drug expenses.

Generic Alternatives: Besides the brand-name Tagamet, we offer generic Cimetidine, which is just as effective and more budget friendly.

Customer Service

Our committed customer service team is always available to help with any questions or issues, ensuring a seamless purchasing experience.

Positive Reviews

PrescriptionPoint boasts a strong record of satisfied customers, as demonstrated by numerous positive reviews and testimonials.

How to Order Tagamet Online in Canada?

Online

You can easily buy Tagamet or its generic alternative Cimetidine on our website, www.prescriptionpoint.com.

Phone

For personalized assistance, you can place your order for Tagamet by speaking with one of our friendly customer support representatives. Just call us on +1-877-244-0431, and we will be happy to assist you.

Fax

If you prefer using fax, you can send your prescription and details to our secure fax line at +1-877-453-0921. We ensure quick and confidential processing of your order.

References

https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/020238Orig1s024lbl.pdf

Protonix

Protonix (pantoprazole)

Indications

Protonix is used for the treatment and management of:

  • Short-term treatment (7 to 10 days) of Gastroesophageal Reflux Disease (GERD) associated with a history of erosive esophagitis.
  • Pathological hypersecretory conditions including Zollinger-Ellison Syndrome. 

Dosage and Administration

  • Read the Medication Guide provided by your pharmacist before starting Protonix and each time you get a refill. If you have any questions, ask your healthcare provider.
  • Take Protonix by mouth as directed by your healthcare provider, usually once daily.
  • Take tablets with or without food.
  • Swallow the tablets whole.
  • Use this medication regularly to get the most benefit. Take it at the same time each day.
  • Continue taking Protonix for the prescribed length of treatment even if you feel better.
  • Inform your healthcare provider if your condition persists or worsens.
  • Do not split, crush, or chew Protonix tablets.

Mechanism of Action

Pantoprazole, the active ingredient in Protonix, is a proton pump inhibitor (PPI). It works by blocking the enzyme in the stomach wall that produces acid, reducing the amount of acid in the stomach. This helps treat acid-related conditions of the stomach and esophagus.

Contraindications

Protonix should not be used in patients with known hypersensitivity to any component of the formulation or to substituted Benzimidazoles.

Side Effects

Common Side Effects

  • Headache 
  • Diarrhea 
  • Nausea 
  • Stomach pain 
  • Vomiting 
  • Gas 
  • Dizziness 
  • Joint pain 
  • Flatulence 
  • Cold-like symptoms (sore throat, congested nose, sneezing).

Serious Side Effects

  • Symptoms of low magnesium levels (such as muscle spasms, irregular heartbeat, seizures)
  • Signs of lupus (such as rash on nose and cheeks, new or worsening joint pain)
  • Seizures
  • Trouble breathing
  • Watery or bloody diarrhea
  • Blurred vision
  • Dry mouth
  • Flushed dry skin
  • Fruit-like breath odor
  • Increased hunger
  • Increased thirst
  • Increased urination
  • Sweating
  • Unexplained weight loss
  • Elevated liver enzymes

Precautions

  • In adults, a response to Protonix does not rule out gastric cancer. If you have a suboptimal response or early relapse, you may need additional follow-up and diagnostic testing. If you are older, consider getting an endoscopy.
  • Protonix can cause acute tubulointerstitial nephritis (TIN) at any point. If you suspect you have acute TIN, stop taking Protonix and seek evaluation.
  • Be aware that Protonix may be associated with serious adverse reactions, including Clostridium difficile-associated diarrhea, bone fractures, severe skin reactions, cutaneous and systemic lupus erythematosus, vitamin B-12 deficiency, low magnesium levels, and fundic gland polyps. If you experience any of these issues, contact your healthcare provider.

Storage Instructions

Store at room temperature between 59°F to 86°F (15°C to 30°C).

References 

https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020988s044lbl.pdf  

https://www.drugs.com/pro/protonix.html  

Prilosec

Prilosec (omeprazole) 

Indications

Prilosec is used for the treatment and management of:

  • Healing active ulcers in the small intestine in adults.
  • Getting rid of Helicobacter pylori bacteria to prevent ulcers from coming back in adults.
  • Treating active ulcers in the stomach in adults.
  • Relieving symptoms of heartburn caused by stomach acid in patients 1 year and older.
  • Healing damage to the esophagus caused by stomach acid in patients 1 month and older.
  • Keeping the esophagus healthy after it’s been healed from acid damage in patients 1 year and older.
  • Managing conditions in adults where the stomach makes too much acid, like Zollinger-Ellison syndrome.

Dosage and Administration

  • Read the Medication Guide provided by your pharmacist before starting Prilosec and each time you get a refill. If you have any questions, ask your healthcare provider.
  • Take Prilosec by mouth before a meal, usually once daily, as directed by your healthcare provider.
  • Take this capsule whole.
  • Take this medication regularly to get the most benefit. Take it at the same time each day.
  • Continue taking Prilosec for the prescribed length of treatment, even if you feel better.
  • Inform your healthcare provider if your condition persists or worsens.
  • Do not stop taking this capsule without consulting your healthcare provider.
  • Do not crush or open Prilosec capsules.
  • Do not take this medication with grapefruit or grapefruit juice unless advised by your healthcare provider.

Mechanism of Action

Omeprazole, the active ingredient in Prilosec, is a proton pump inhibitor (PPI). It works by blocking the enzyme in the stomach wall that produces acid, thereby reducing the amount of acid in the stomach. This helps heal acid-related conditions of the stomach and esophagus.

Contraindications

Prilosec should not be used in:

  • Patients with known hypersensitivity to substituted Benzimidazoles or any component of the formulation.
  • Patients receiving rilpivirine-containing products.

Side Effects

Common Side Effects:

  • Headache 
  • Stomach pain 
  • Nausea 
  • Vomiting 
  • Diarrhea 
  • Gas 
  • Cold symptoms such as stuffy nose, sneezing, and sore throat, especially in children.

Serious Side Effects:

  • Symptoms of low magnesium levels, such as muscle spasms, irregular heartbeat, and seizures.
  • Signs of lupus, such as a rash on the nose and cheeks, and new or worsening joint pain.

Precautions

  • Even if Prilosec helps with your symptoms, it doesn’t rule out the risk of stomach cancer. Make sure to get additional tests to check for this.
  • Some people using this capsule may develop sudden kidney problems. If this happens, stop taking Prilosec and see your doctor.
  • This medication might increase the chance of getting a type of diarrhea caused by a bacteria called Clostridium difficile. Watch for signs and seek medical attention if necessary.
  • Using this medication for a long time or taking it frequently could raise the chances of breaking bones in your hip, wrist, or spine.
  • Prilosec might worsen lupus or cause it to appear for the first time. If you have lupus symptoms, talk to your doctor about stopping Prilosec and seeing a specialist.
  • Avoid taking Prilosec with clopidogrel, a blood thinner, as it can interfere with its effectiveness.
  • Long-term use of Prilosec might prevent your body from absorbing enough vitamin B-12. Your doctor may monitor your levels.
  • There have been cases of low magnesium levels in people taking Prilosec for a long time. Your doctor may check your magnesium levels while you’re on this medication.
  • Avoid taking Prilosec with St. John’s Wort or Rifampin, as they can reduce how well Prilosec works.
  • Prilosec might affect the results of tests for certain types of tumors. Stop taking Prilosec for at least 14 days before any such tests.
  • If you’re taking high doses of methotrexate, your doctor might advise stopping Prilosec temporarily, as it could interfere with methotrexate’s effectiveness.
  • Using this medication for a long time, especially more than a year, might increase the risk of developing polyps in your stomach. It’s best to use this capsule for the shortest time possible.

Storage Instructions

Store at room temperature between 59°F to 86°F (15°C to 30°C).

References

https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/022056s022lbl.pdf  

Gaviscon Extra Strength Fruit

The Gaviscon Extra Strength Fruit medication above is manufactured by ASM Canada Inc.

In the US, Customers can order Gaviscon Extra Strength Fruit online , or as the generic alternative, Alginic Acid/Magnesium Carbonate – non Rx as well as many more quality medications from PrescriptionPoint.com. Our online pharmacy allows you to purchase medication 24 hours a day and 7 days a week.

Thank you for choosing PrescriptionPoint.com. Our products are guaranteed delivered through timely, reliable, and safe shipping. It takes approximately 2 to 4 weeks from the day you order it to arrive at your house. All orders placed on our SSL (Secure Socket Layer) secured website are backed by the BuySAFE security seal which offers a third-party guarantee of your purchase, and $10,000 in identity theft protection.

PrescriptionPoint.com proudly displays its CIPA (Canadian International Pharmacy Association) seal to signal that we conform to nothing but the highest standards for quality. Our CIPA affiliate pharmacies are recognized globally as the first choice in prescription and non-prescription medicine. PrescriptionPoint.com guarantees the best price for Gaviscon Extra Strength Fruit and will beat any other price found on a CIPA certified website for the same drug by 5 dollars.

A prescription must be provided for Gaviscon Extra Strength Fruit as with all prescription medicine here at PrescriptionPoint.com. The customer must fax a copy of their prescription and following that the customer must mail the actual original prescription to PrescriptionPoint.com. No exceptions.

If you have any questions regarding medication or basic inquires about PrescriptionPoint.com you can contact us by mail, phone or internet. If you wish to speak to a representative be sure to call our toll free number 1-877-244-0431 from Monday to Friday from 6am to 6pm and Saturdays from 7am to 4pm.

Patient Family Information  :

Sever Side Effects :

Gaviscon Extra Strength Fruit | Alginic Acid/Magnesium Carbonate – non Rx | Gaviscon Extra Strength Fruit | Gaviscon Extra Strength Fruit

Gaviscon MaxRelief Berry

The Gaviscon MaxRelief Berry medication above is manufactured by Glaxo Smith Kline.

In the US, Customers can order Gaviscon MaxRelief Berry online , or as the generic alternative, Alginic Acid/Magnesium Carbonate – non Rx as well as many more quality medications from PrescriptionPoint.com. Our online pharmacy allows you to purchase medication 24 hours a day and 7 days a week.

Thank you for choosing PrescriptionPoint.com. Our products are guaranteed delivered through timely, reliable, and safe shipping. It takes approximately 2 to 4 weeks from the day you order it to arrive at your house. All orders placed on our SSL (Secure Socket Layer) secured website are backed by the BuySAFE security seal which offers a third-party guarantee of your purchase, and $10,000 in identity theft protection.

PrescriptionPoint.com proudly displays its CIPA (Canadian International Pharmacy Association) seal to signal that we conform to nothing but the highest standards for quality. Our CIPA affiliate pharmacies are recognized globally as the first choice in prescription and non-prescription medicine. PrescriptionPoint.com guarantees the best price for Gaviscon MaxRelief Berry and will beat any other price found on a CIPA certified website for the same drug by 5 dollars.

A prescription must be provided for Gaviscon MaxRelief Berry as with all prescription medicine here at PrescriptionPoint.com. The customer must fax a copy of their prescription and following that the customer must mail the actual original prescription to PrescriptionPoint.com. No exceptions.

If you have any questions regarding medication or basic inquires about PrescriptionPoint.com you can contact us by mail, phone or internet. If you wish to speak to a representative be sure to call our toll free number 1-877-244-0431 from Monday to Friday from 6am to 6pm and Saturdays from 7am to 4pm.

Patient Family Information  :

Sever Side Effects :

Gaviscon MaxRelief Berry | Alginic Acid/Magnesium Carbonate – non Rx | Gaviscon MaxRelief Berry | Gaviscon MaxRelief Berry

Gaviscon Advance Chewable Mint

The Gaviscon Advance Chewable Mint medication above is manufactured by Reckitt Benckiser.

In the US, Customers can order Gaviscon Advance Chewable Mint online , or as the generic alternative, Potassium Bicarbonate/Sodium Alginate – non Rx as well as many more quality medications from PrescriptionPoint.com. Our online pharmacy allows you to purchase medication 24 hours a day and 7 days a week.

Thank you for choosing PrescriptionPoint.com. Our products are guaranteed delivered through timely, reliable, and safe shipping. It takes approximately 2 to 4 weeks from the day you order it to arrive at your house. All orders placed on our SSL (Secure Socket Layer) secured website are backed by the BuySAFE security seal which offers a third-party guarantee of your purchase, and $10,000 in identity theft protection.

PrescriptionPoint.com proudly displays its CIPA (Canadian International Pharmacy Association) seal to signal that we conform to nothing but the highest standards for quality. Our CIPA affiliate pharmacies are recognized globally as the first choice in prescription and non-prescription medicine. PrescriptionPoint.com guarantees the best price for Gaviscon Advance Chewable Mint and will beat any other price found on a CIPA certified website for the same drug by 5 dollars.

A prescription must be provided for Gaviscon Advance Chewable Mint as with all prescription medicine here at PrescriptionPoint.com. The customer must fax a copy of their prescription and following that the customer must mail the actual original prescription to PrescriptionPoint.com. No exceptions.

If you have any questions regarding medication or basic inquires about PrescriptionPoint.com you can contact us by mail, phone or internet. If you wish to speak to a representative be sure to call our toll free number 1-877-244-0431 from Monday to Friday from 6am to 6pm and Saturdays from 7am to 4pm.

Patient Family Information  :

Sever Side Effects :

Gaviscon Advance Chewable Mint | Potassium Bicarbonate/Sodium Alginate – non Rx | Gaviscon Advance Chewable Mint | Gaviscon Advance Chewable Mint

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