Keep experimenting with Prilosec or ask to be switched?

I'm still having trouble with my acid reflux.  When I told my GI that I was having evening troubles (I was taking it in the morning) he said try taking it before dinner but I found that when I did that, I had the morning burn.  So I have tried taking it at different times during the day but I'm still having breakthru.  So I've been using Tums for those times.  Does it sound like maybe Prilosec is not working anymore or.....heck I don't know, I'm confused about this!     My GI mentioned putting me on Protonix in the beginning but my insurance won't cover it until I have tried otc remedies first (darn HMO's!).  I'm thinking about calling him soon to let him know what is going on so he might switch me to Protonix.  So for anyone that has tried Prilosec then switched to Protonix, did this help you?

Hi Sherry,   I am new to the GERD-Heartburn Board, but not to Healing Well.  I have suffered from GERD/Heartburn for well over 20 years.  Not knowing that it was anything more than heartburn, I just did the antacids.  But about 4 years ago I thought I was having a heart attack and was taken to the hospital via ambulance; I was there for 3 days and had many, many tests done.  It was determined that I have severe acid reflux and this has caused a condition in my esophagus called Barrett's Esophagus.  I have learned that this is a pre-cancerous condition and I have to be scoped once a year to make sure nothing has changed.  Because of this, I have had two doctors tell me in no uncertain terms and have made it VERY clear to me that I have to be on medication for this condition for the rest of my life or I could most likely develop esophageal cancer.   After trying other medications for the reflux and couldn't tolerate them (caused vomiting after eating) I was put on Protonix.  My insurance company approved it because I had already tried three different prescript ion meds and OTC meds that I couldn't tolerate.  I started out at once a day and eventually went to twice a day because I still had so much reflux.  Again, my insurance company approved it because I had been on Protonix once a day for about 2 years and developed more breakthrough.  After being on this for a couple of years I had to switch to Nexium because I started to have breakthrough reflux - again.  As long as I don't miss a dose, I do okay and can eat anything without a problem.  But if I miss a dose, I know it within a few hours.   If I were you, I would definitely try the suggestion that Tammy has given you and if that doesn't work ely talk with your doc about  trying another med like Protonix or Nexium (if you haven't already tried that one).  I sure hope you find a solution soon so that you can get the reflux under control.    Wen

Thanks! I will try Tammy's way and see if it helps. I've been lucky these past few days because I've ate a ton of foods because of the holidays and my acid reflux has been behaving.