Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Prilosec, Zantac, Nexium...



Recommended Posts

Does it matter which one? I ran out of prescription Prilosec (but have a ton of Zantac at home). Headed to store & might get something OTC just in case. Any suggestions on what works best?

Share this post


Link to post
Share on other sites

You won't know till you try. Different PPI's can be more or less effective for different people. A lot of people have to try different ones before they find one that works for them. Ask your surgeon to be sure.

Share this post


Link to post
Share on other sites

I was prescribed liquid Prilosec after my VSG, but it was near impossible trying to get my drug plan to cover it and kind of a pain to get it, even with self-pay, so I asked the pharmacist about alternatives. She said it was fine to buy Nexium capsules and just break them open. You can mix them in with applesauce, but I just put them on my tongue and then follow with some Water or other drink. Prilosec and Nexium are apparently almost identical; Nexium is just different enough for the manufacturers to acquire a patent, but that's it. I do recommend asking your doctor, of course, but this seems to work fine until I can swallow actual pills.

Share this post


Link to post
Share on other sites

Zantac is not a PPI

Prilosec and nexium are both OTC

(basically the same) prescription Prilosec is just double the dose of OTC Prilosec

Prevacid is also PPI and OTC

Share this post


Link to post
Share on other sites

Zantac is not a PPI

Prilosec and nexium are both OTC

(basically the same) prescription Prilosec is just double the dose of OTC Prilosec

Prevacid is also PPI and OTC

Thanks for clarifying. Even though Zantac is an acid reducer and used to treat GERD and ulcers like PPI's, it is by a different mechanism (histamine 2 blocker). Not sure if it's effectiveness is different for sleeve patients compared to PPI's.

Share this post


Link to post
Share on other sites

I mix mine . I take Pepcid and Nexium and Pepcid complete chewable it was the only thing I found that gets read of the acid feeling abd the feeling of hunger the acid gave me !

Share this post


Link to post
Share on other sites

Zantac and Pepcid will also reduce acid so good option. I have been using Pepcid in addition to nexium lately due to extra acid. the PPI turns off the acid pumps. the others reduce acid but not quite at the source.

Share this post


Link to post
Share on other sites

I got something called "Zegrid OTC" the other day to start taking 2 weeks before my surgery. I looked it up online and it said it was basically the same thing as Prilosec.

Share this post


Link to post
Share on other sites

I got something called "Zegrid OTC" the other day to start taking 2 weeks before my surgery. I looked it up online and it said it was basically the same thing as Prilosec.

Interesting! I just looked up Zegerid and yes, it's basically Prilosec (Omeprazole) mixed with sodium bicarbonate. So here's the interesting part....

Prilosec OTC comes as a coated tablet. The coating is there to protect the Omeprazole from stomach acid and the tablet is not supposed to be cut or crushed. I am a vet tech and we use Omeprazole in dogs and cats, too, but the doses are often smaller than the 20mg that is available. I consulted with a pharmacist years ago to figure out a way to make a suspension out of the crushed tablet so we could administer smaller doses. He suggested mixing it with liquid sodium bicarbonate instead of Water and that's what we do.

So I guess I'll look for Zegerid and use that instead. The capsules will be a lot easier to mix rather than having to crush the Prilosec and pick out the tiny pieces of coating.

Ok, sorry for my dorky tangent....

Share this post


Link to post
Share on other sites

@@Kindle They had a $8 off coupon in the mail this past week, you might be able to find it online still!

I like trying to save money where I can.

Share this post


Link to post
Share on other sites

I take Previcid OTC twice a day. I snip off the top of the capsule and either take with applesauce or just pour the beads on my tongue and take with Water. No aftertaste :)

Share this post


Link to post
Share on other sites

Thanks all! I guess it's all trial & error. I just hope my Dr will write a script for it. It's much cheaper for me than buying OTC.

I know Nexium is pretty new, but wonder how it compares to Prilosec.

Share this post


Link to post
Share on other sites

Thanks all! I guess it's all trial & error. I just hope my Dr will write a script for it. It's much cheaper for me than buying OTC. I know Nexium is pretty new, but wonder how it compares to Prilosec.

Nexium is new OTC but it's been around almost as long as Prilosec and has the same molecule as Prilosec. They just used the mirror image version so they could renew the patten You can get generic Prilosec but not generic nexus. So the Prilosec is cheaper.

Share this post


Link to post
Share on other sites

Nexium is new OTC but it's been around almost as long as Prilosec and has the same molecule as Prilosec. They just used the mirror image version so they could renew the patten You can get generic Prilosec but not generic nexus. So the Prilosec is cheaper.

Hmmmm....good to know! Thanks for saving me a few bucks!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×