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Naltrexone
I will start with naltrexone, which can help people who have difficulty regulating their drinking have a more natural and sustainable relationship with alcohol should they choose to not cut it out of their lives entirely.
Omeprazole
Got stomach bad acid? Want it go away for days or weeks on end without antacid? Omeprazole works like a dream and is available without prescription in most countries except Japan.
You don’t, like, take that chronically do ya? I’ve heard that vigorously warned against…
Thanks for bringing this up, I’m curious about folks’ experiences/thoughts regarding Proton Pump Inhibitors
I was warned not to use it chronically. I use it perhaps 2 days each month. You need to be aware of your triggers, such as fatty or spicey foods and alcohol. Also try and self diagnose stomach acid symptoms as early as possible.
Ya that sounds better. I pop a Tums once in a blue moon but my diet is much cleaner to the effect I rarely need it anymore.
It may be prescribed long term if the benefits outweigh the possible risks. If someone is taking it in their own, it’s probably better to talk to their doc about it. My understanding is that it’s safe but can have long term effects and needs to be stepped down if you stop after taking it a while
Is that overseen by a GI specialist or your family dr? No offense to general practitioners?l
Either can prescribe it. Depends on the person’s situation- other symptoms, severity, etc.
I mean in your case or is this all academic/hypothetical? I assumed you were describing your personal use case. Did your dr prescribe and refill it or was it specialist?
I was in Japan this year and I had run out of omeprazole, in JP you cannot buy it over the counter. Ofc cue a bad few days of acid and luckily there was a GI specialist near my hotel. He noted that I had used PPI before and gave me a prescription for 60 tablets
I was initially prescribed this by my doctor.
Have you considered getting a second more specialized opinion from GI?
I did, from a specialist in Japan. It really helps me as I can get extreme symptoms such as nausia, vomiting, insane back pain and inability to eat anything. No other medicines have helped me like this.
Esomeprazole works way better for me.
Isn’t that an inversion of the same?
They’re obviously closely related but they work differently.
https://www.healthline.com/health/gerd/nexium-vs-prilosec#differences