At two years post op, health insurance no longer covers the sublingual version of omeprazole. The sublingual version of omeprazole successfully treated my GERD. I switched to the over the counter version because the health insurance has decided not to cover any form of omeprazole. After using the capsule for a few months, I find that the GERD is back with a vengeance.

I had GERD pre-op and I have it post-op and expect to always have it.

What are the experiences of others? Has anyone else experienced a difference in effectiveness between the sublingual version versus the capsule version of omeprazole?

I did some research on the web and found an abstract of a study that seems to suggest that the sublingual form is more effective.

I am sorry to hear you have to deal with GERD. I thought gastric bypass is the cure for GERD...that was the reason I chose bypass for...

So I used to have GERD before my GB, but since surgery I have no symptomes. I have to take Omeprazole 20mg capsule once a day, it is standard with my surgeon to take PPI after surgery, possibly forever now. I wonder if upping your dose of PPI would help? How much do you take daily? I used to take 10mg and I had stomach ache so my doc switched me to 20mg, no pain since then...sorry I have no experience with sublingual.

Would it be very expensive just to buy the sublingual? Sorry I am in the UK and all our meds are covered here, so I don't know much about how it goes in the US. I assume you can get the meds as long as your doctor prescribes it, even if it is not covered by your insurance, but then you have to pay out of pocket. It is really a shame...