Kicking the Omeprazole / Nexium / PPI Habit

So, lately I've been wondering if it would have been better to not stop my nexium/omeprazole (started on Nexium) medication.  I went on a hunt to see what other people found to work best.  In reading, I found that simply stopping the PPI or H2 blockers because this may cause a sudden and nasty rebound effect.  It seems that gradually stopping may work best.  Take a look at the following schedule that was suggested for stopping Omeprazole:

1.

Week 1: Alternate 20mg of Prilosec (Omeprazole) with 100mg Prilosec
Week 2: 10mg Prilosec
Week 3: Alternate 10mg of Prilosec with 80mg Pepsid (Famotidine)
Week 4: 80mg Pepcid
Week 5: Alternate 80mg Pepsid with 40Mg Pepsid
Week 6: 40mg Pepcid

2.

Week 1 : alternate 10 mg Prilosec with 20 mg Pepcid
Week 2 : alternate 20 mg Pepcid with 10 mg Pepcid
Week 3 : same as week 3
Week 4 : 10 mg Pepcid
Week 5:  Use Apple Cider vinegar, DGL Licorice & ginger.

3.

Week 1: 40mg Omeprazole
Week 2: 20mg Omeprazole
Week 2: Alternate 20mg of Prilosec (Omeprazole) with 10mg Prilosec
Week 3: Alternate 10mg Prilosec, 40mg Pepsid
Week 4: Alternate 40mg Pepcid (Famotidine), 20mg Pepcid
Week 5: 20mg Pepsid, 10mg Pepcid
Week 6: 20mg Pepsid, 10mg Pepcid
Week 7: 10mg Pepsid
Week 8: 10mg Peps, Off (take DGL Licorice, apple cider vinegar at night, ginger)

4.

Take your Omeprazole/Nexium/Etc. capsule and begin to remove 1, then  2, then 3,  then 4, etc., of the capsule's content every day, until you're down to none.  This takes some effort, but has been known to work.

GERD Hell / Symptoms / Suffering

So my Nexium medication ran out, except for 1 pill I had in my bag, a few weeks ago.  I took my last capsule on a Thuraday.  I went out with friends that night.  I tried to be good but we ate quite late.

The next day I felt ok.  Saturday was not too bad, but I started to feel like I couldn't eat as much.  By Sunday, I was already feeling stomach distress.  That Thursday I had to take off work.  I was trying hard to keep things under control.  I ate tiny meals, every two hours.  But at some point it wasn't enough.  I was quite weak.  I weighed myself and I had lost almost 4 pounds in what was about 7 days.  That's virtually impossible for me.  I rushed to get Pedyalite.  I recommend Pedialyte for anyone that thinks they might be dehydrated.  It works fast, and to me, it doesn't taste horrible, bad yes, but not horrible.

It was probably Friday, so 1 week after I quit Nexium that the pain started.  It's hard to describe pain that never goes away.  I had the following symtoms:

Stomach pain
Stomach burning
Lightheadedness
Head pressure (from the back of my head to my skull)
Shortness of breath
Nausea
Constantly clearing my throat
Taste of acid in the back of my throat or slowly rising from my stomach
Painful bloating for hours
Extreme weakness
Sore Throat
Constant burping (particularly after eating or drinking)

I rarely felt hungry because I was in almost constant pain.  It was agonizing that when I did feel hunger, I was too scared to eat.  I knew I had to, so I forced myself to eat, but always with the same consequences.  Worse, even water made me sick!!

I realized after the first few days of being at home that whenever I drank water with my meal: before, during, or immediately after, I felt the acid in my stomach rising up my esophagus.  This is torture because I love water.  I only drink water or alcohol.  So, I did some researched and found out that  water is actually not good to have during meals if you have GERD.

As soon as I read this, I stopped drinking water, which did cut down on my feeling all the acid flowing up my esophagus.  However, I needed to do more, and so I set out to look on the internet for natural ways of curing/treating my GERD.

My GERD Cause: My Ibuprofen Addiction Gave me GERD

So during my stints at the hospital, the doctors thought had an ulcer and so they kept asking me about my use of pain killers and the like.  I thought about it and just nodded, this made sense.  I use ibuprofen a lot.

I was diagnosed with plantar fasciitis.  Plantar fasciitis (PF) is a painful inflammatory process of the plantar fascia, the connective tissue on the sole (bottom surface) of the foot. The doctor had me change shoes and other things, but also told me to just take pain killers, such as Ibuprofen.  I went to the store and bought the biggest bottle of Ibuprofen and started popping a couple several times a day.  Anything to get rid of my PF.  At the same time, I ignored the warning on the bottle that said that such medications can cause ulcer.  Why ignore it? Because of course that wouldn't happen to me.

Unfortunately, my Ibuprofen habit went further.  I discovered that I could take Midol for my PMS.  Just so you know, Midol and the like have 500mg of Ibuprofen and the like.  This was great, I'd take two. and felt great for all 5 days.

Finally, I decided to get laser to remove the hair on my legs for good.  They recommend people take one or 2 pain killers before the treatment, about an hour.  Well, since I knew Ibuprofen was so good, I was popping 5.  I was obviously out of control and never stopped to think about how these drugs were affecting my stomach.

This pain killer reliance, since I don't think it was exactly an addiction, went on for about 2 years, until my GERD came on.

After my GERD episodes started, I realized how much pain killers harm your stomach:

Certain medications and dietary supplements can irritate the lining of your esophagus, causing heartburn pain, and others can increase the severity of gastroesophageal reflux disease (GERD).
 Medications and dietary supplements that can irritate your esophagus and cause heartburn pain include:

• Antibiotics such as tetracycline

• Bisphosphonates, such as alendronate (Fosamax), ibandronate (Boniva) and risedronate (Actonel)

• Iron supplements

• Pain relievers such as ibuprofen (Advil, Motrin, others) and aspirin

• Potassium supplements

Medications and dietary supplements that can increase acid reflux and worsen GERD include:

• Anticholinergics such as oxybutynin (Ditropan) prescribed for overactive bladder and irritable bowel syndrome

• Calcium channel blockers and nitrates used for high blood pressure and heart disease

• Narcotics (opioids) such as codeine and those containing hydrocodone and acetaminophen (Lortab, Norco, Vicodin)

• Progesterone

• Quinidine

• Sedatives or tranquilizers, including benzodiazepines such as diazepam (Valium) and temazepam (Restoril)

• Theophylline (Elixophyllin, Theochron)

I'm now convinced that pain killers contributed greatly to me getting GERD, along with my diet, and my way of eating.

Enjoying Nexium

I have read a lot of blogs the last few weeks and currently feel quite fortunate that Nexium did work for me.  It seems there's many out there that take PPIs twice a day, in addition to other medicines but nothing works.  I was lucky in that 1 Nexium in the morning was enough to keep me, mostly, symptom free all day.

Alright, so what is Nexium and what are PPIs?

Nexium:

Nexium (esomeprazole) belongs to a group of drugs called proton pump inhibitors. Nexium decreases the amount of acid produced in the stomach.
Nexium is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome. Nexium is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).
Nexium may also be given to prevent gastric ulcer caused by infection with helicobacter pylori (H. pylori), or by the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Nexium is not for immediate relief of heartburn symptoms.
Nexium may also be used for other purposes not listed in this medication guide.

Nexium Side Effects:

Get emergency medical help if you have any of these signs of an allergic reaction to Nexium: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using Nexium and call your doctor at once if you have any of these symptoms of low magnesium such as:

• dizziness, confusion;
  
• fast or uneven heart rate;
  
• jerking muscle movements;
  
• feeling jittery;
  
• diarrhea that is watery or bloody;
  
• muscle cramps, muscle weakness or limp feeling;
  
• cough or choking feeling; or
  
• seizure (convulsions).
  

Less serious Nexium side effects may include:

• headache, drowsiness;
  
• mild diarrhea;
  
• nausea, stomach pain, gas, constipation; or
  
• dry mouth.
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Proton Pump Inhibitors (PPIs)

Proton pump inhibitors (PPIs) are medicines that work by reducing the amount of stomach acid made by glands in the lining of your stomach.

• Relieve symptoms of acid reflux, or gastroesophageal reflux disease (GERD), a condition where food or liquid travels backwards from the stomach to the esophagus (the tube from the mouth to the stomach)

• Treat a peptic or stomach ulcer

• Treat damage to the lower esophagus caused by acid reflux

Types of PPIs

There are many different names and brands of PPIs. Most work as well as another. Side effects may be different for different ones.

• Omeprazole (Prilosec), also available over the counter without a prescription (Prilosec OTC)
• Esomeprazole (Nexium),
• Lansoprazole (Prevacid),
• Rabeprazole (AcipHex)
• Pantoprazole (Protonix)
• Dexlansoprazole (Kapidex)

Although I was scared, I started taking the Nexium every morning as soon as I got up.  At first, I felt just as sick, like the side effects were worse than the disease; within a week most side effects were gone.  It became a habit, something I just didn't think about.  I just knew I had to take my medication and couldn't drink too much.  Mainly limited my drinking to 1-2 drinks.  That definitely slowed my social life.  I wasn't 100% but I was close enough where I just didn't think I was sick anymore.

After 1 month on Nexium I tried to stop it.  I felt fine the first day, so I went on my usual super drinking and eating.  The following day I was so sick I ran to get another refill.  As the end of my 3rd month approached, I realized I had to some how find a cure for whatever was wrong with me.  At least that's how I was thinking: I just need to cure myself naturally.  No more drugs.  No more risk of 101 side effects.