Plavix and Prilosec like oil and water

March 11, 2010 By

DEAR DR. GOTT: I have a heart condition and take both Plavix to prevent blood clots and Prilosec for stomach acid. I was recently informed there are new reports out that advise me not to take my Prilosec. What is this all about, and what are my options?

DEAR READER: Plavix is prescribed by physicians to prevent blood clots that could lead to heart attack or stroke in some patients. Prilosec (omeprazole) reduces the incidence of excess stomach acid. In November 2009, the Food and Drug Administration issued a warning to patients not to take one if you are on the other. [Read more...]

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Prilosec for a cough?

March 3, 2010 By

DEAR DR. GOTT: I had a dry, hacking cough all last winter. I finally went to an allergist, had a good work-up, and several ideas were put forth. I was told when all else fails and as a last resort, try over-the-counter Prilosec, the heartburn medication. Very much to my surprise, it worked. No more cough! As long as I continue to take one tablet daily, I’m free of the annoyance.

DEAR READER: Gastroesophageal reflux disease (GERD) commonly causes heartburn and a sour taste in the mouth; however, nearly half of all sufferers experience a chronic cough with no other symptoms. If the heartburn medication works, you probably have GERD. [Read more...]

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Talk to doctor about meds

February 13, 2010 By

DEAR DR. GOTT: Because of acid reflux that I couldn’t control through diet and over-the-counter medicines, my doctor had me on 40 milligrams of Nexium daily. I took this for many years, but now my insurance no longer covers it, and I cannot afford to pay out of pocket. Now my doctor has suggested using over-the-counter Prilosec. The daily dose is 20 milligrams, and the package states that it should be taken for only 14 days at a time.
When I called my doctor about this, he said it was OK to take it daily just as I had taken the Nexium. My question to you: Is it really OK? Should I also be increasing the dosage to 40 milligrams or leave it at 20? [Read more...]

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Sunday Column

August 10, 2008 By

DEAR DR. GOTT:
My husband is 70 years old and feels like a dying man. In the last three months he has had a plethora of problems including an unproductive cough (now gone), trembling, lightheadedness, dizziness, fatigue, hiccup spasms, nausea, constipation and occasional inability to urinate. Currently he is taking half an Atenolol (50 mg), one Prilosec and one low dose aspirin (81 mg).

In February 2007, my husband was found to have high blood pressure and was started on lisinopril, hydrochlorothiazide and metoprolol which he took until October 2007 when he developed an unproductive cough, extreme fatigue and lightheadedness. He could sleep 24/7. He saw his doctor who ordered testing but nothing was found.

He then developed dizziness when turning his head or bending over [Read more...]

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Daily Column

July 28, 2008 By

DEAR DR. GOTT:
Your advice to the woman with the distended stomach, lower back pain, aching legs, and constant tiredness in which you suspected Cushing Syndrome may very well be correct. However, there is another possibility. These are also side effects from the drug Nexium which she claimed to be taking. I had symptoms just like hers while I was taking it. I am now on generic Prilosec and my stomach is going back to normal and my tiredness is slowly lifting.

When the patent on Prilosec was about to expire the formula was “tweaked” just enough to receive a new patent which was then marketed as Nexium. This “tweaking” caused the Nexium to have some side effects that the Prilosec did not.

I would like to be off the medication but diet, exercise and over-the-counter antacids don’t work. Do you have any suggestions? [Read more...]

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