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HOW LONG Will I Need to Take Prilosec/Prevacid?



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I was sleeved in Mexico, so don't have a local bariatric doc. I started taking an acid-reducer like Prilosec/Prevacid (generic omeprazole) as instructed because I understand we are more likely to have too much stomach acid. Is this temporary or long-term? How long do we take this drug?

I never had acid issues in the past, so I've not been really sure what I need to look for now, how to tell if it's happening. I don't want to cause esophogeal problems, but I also don't want to take a drug forever if it's not needed.

What do your doctors tell you?

Thanx greatly!!

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My doc said minimum 3 months, but I have refills for 6. I'm 3 months next week so I tested it over the weekend...I won't do that again!

Bile galore - YUCK. So back on the pills and feel great.

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Do you have a PCP you can ask?

I'm prepared to take at least one dose per day for life, (cut back from 2 doses\day last month), but I had reflux to begin with. Mine was "silent" and went mis-diagnosed for 10 years. It's easy for me to know now I need the stuff because I know the night time cough I get is reflux, not asthma. Mine was finally properly diagnosed due to the pre-op EGD they did for my sleeve when they found evidence of effects of too much acid. If you're asymptomatic, I don't know of another test, besides the EGD but your regular doc might.

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At my one week post op I was told to stay on the acid reducers for about a month giving the stomache time to heal with less acid.

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My doctor says for the first 2 months.

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Am I the only person who was not put on an antacid post-op? To be fair I am not (as of right now) having any issues with reflux. Should I be concerned that I'm going to develp acid reflx down the road?

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Am I the only person who was not put on an antacid post-op? To be fair I am not (as of right now) having any issues with reflux. Should I be concerned that I'm going to develp acid reflx down the road?

I haven't had any issues either. I was told sleeve patients take it for 3 months and bypass patients take it the rest of their lives. The #1 long-term complication with sleeve surgery is stomach ulcers. I thought this was to help with that.

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Initially post op, I was told I had to take acid reducer for 3 months.

After a month on rabeprazole I was not getting better, my acid reflux was getting worse.

I was switched to Nexium (esomeprazole) and this really worked for me.

My surgeon told me I should stay on it for 12 months.

Now, 6 months later, I am slowly weaning myself of it, from 1.5 days, then taking it every 2nd day, then 3rd, now every 4 days, and so far I am fine. No reflux!

I'll keep monitoring it, and I will definitely refill my repeats for possible "emergency" later, but I am hoping that I will be OK.

Everyone is different, some don't need acid reducer, some get off it 2 months later, some stay longer, few need to take it for life.

@@TxCalico

For me, the acid was burning and coming up my oesophagus, the burning would last a long time. I had couple of early morning wake-ups with choking on and coughing up vile, yellow burning acid, and this was really scary!

I also had bad acid attacks at every food phase change, until I switched to Nexium.

I did not suffer from acid before. Had a few occasions when I felt bit of acid after drinking wine or eating chocolate, but never on a daily basis prior my op.

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I'm on Pepcid complete OTC since surgery. My doc said to take it for 3 months. I never had issues with reflux. He said he wants to decrease the acid by the staple line.

Note to self: I don't have to take this day all at once but rather one step, one breath and one moment at a time. I am only one person.

Edited by kiyatylese

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Took it one day. No issue just hate taking meds. I was told to take it for about 6 mos. But I haven't. I don't have GERD or anything if I were having GI concerns I would take it.

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I took it for about 6-8 weeks. I was on a daily dose for the first month and at my one month appt the surgeon told me to go to every other day to wean off and see if I developed any reflux. I finished off whatever I had left from my prescription and never had any problem. FWIW I had occasional reflux presurgery especially at my highest weight and when I was pregnant. I'm 68 lbs down and no problems.

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For a year, maybe life. I have very bad GERD before surgery. It is really bad right now. Sleeved 10 days ago.

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I was sleeved in Mexico, so don't have a local bariatric doc. I started taking an acid-reducer like Prilosec/Prevacid (generic omeprazole) as instructed because I understand we are more likely to have too much stomach acid. Is this temporary or long-term? How long do we take this drug?

I never had acid issues in the past, so I've not been really sure what I need to look for now, how to tell if it's happening. I don't want to cause esophogeal problems, but I also don't want to take a drug forever if it's not needed.

What do your doctors tell you?

Thanx greatly!!

I was prescribed one for 6 months. I quit taking it then and haven't needed it since.

Have you talked to your PCP? My understanding is that it isn't a good idea to use them long-term unless you really need them.

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Thanks for this thread. My surgeon gave me a 6 month prescription for the liquid form as well. I really dislike taking it and I forget to do it at least once a week. I'll ask my surgeon if I have to keep taking it at my 3 month follow up.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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