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Advice for Stopping PPI

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GERD & Acid Reflux
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Posted 5/24/2013 11:49 AM (GMT 0)
Hi,

I've been taking a PPI (tecta) for just over 4 weeks now and would like to stop.  It has been helping lessen my nausea from gastritis, but I don't want to be on it long term as i've heard warnings of rebound effect.  I am currently taking 1 tecta per day.  I also take a zantac mid day if the nausea returns.  What is the best way to stop?

e.g. just stop the tecta and, say, take a zantac in the morning (when I normally would take the PPI) and one in the afternoon?  Or say, take a tecta every other day?

The tecta pill itself is oval (as opposed to being flat) and small, so it's not so easy to cut it in half. 

Advice is greatly appreciated.

Posted 5/24/2013 12:32 PM (GMT 0)
What does your doctor say? 4 weeks isn't a long time to be on a PPI.
Posted 5/24/2013 4:01 PM (GMT 0)
That's part of why I want to stop it.  My GI didn't put me on it (said it was ok but didn't suggest it).  It was my rheumatologist that gave it to me if I want to try taking my anti-inflammatory again.  So am taking the PPI but not the anti-inflammatory.  The PPI is helping my nausea (well, except today I'm feeling yucky) but don't want to be on it for a long time...but can't really ask my GI.
Posted 5/24/2013 9:18 PM (GMT 0)
I think you could try just switching out the ppi for the Zantac since you have only been on it for 4 weeks. Not everyone has rebound after taking a ppi for 4 weeks so it is worth a shot, especially since the Zantac helps midday. If it the Zantac does not give enough relief you could cut the pill in half with a pill cutter. I have to use the pill cutter for my 300 mg Zantac because of it's shape. You should be able to get a pill cutter at the pharmacy.
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