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  • BDD Moderators: Keif’ Richards

Strongest antacid?

Renz Envy

Bluelighter
Joined
Sep 29, 2010
Messages
3,337
In your scientific knowledge of medicine, what is the strongest antacid available?
 
Define 'strongest'.

Proton pump inhibitors are the clinically accepted standard of treatment for excess gastric acid (omeprazole, lansoprazole and stuff).
H2 antagonists (cimetidine, ranitidine) were the previous standard of care and are OTC in some places that PPI's aren't.
Calcium or magnesium carbonate are also effective for mild stomach acid and for adjusting stomach pH for drugs. (Tums, Rolaids)

Dietary adjustments like avoiding high pH foods or excessive carbohydrate loads can also help.
 
Amphetamine potentiation. I've used dexilant before and it worked magnificently.

But diet adjustments are something I'd rather look into. I can only imagine that messing with the acidity of my stomach could have a bad ending (ulcers etc.)
 
No, but it's kind of pointless to combine the two.

PPI's are meant for long term therapy, basic antacids are more a "breakthrough" cure.

And yes, I meant avoid low pH foods.
 
Dunno if this translates for the Americans out there but Gaviscon/Peptac is better than standard antacids as it contains sodium alginate as well which forms a raft across the top of your stomach, preventing the acid from refluxing up your oesophagus. Other simple things like not wearing tight belts and sleeping slightly propped up can help mild/occasional cases too.

It is important to get persistant heartburn checked out especially if it doesn't respond to simple treatments, firstly to make sure you don't have a peptic ulcer which would require eradication therapy and secondly because persistant gastro-oesophageal reflux (the acid rising up your oesophagus) can cause changes to the cells which line it (a condition termed Barret's oesophagus) which can very occasionally lead to oesophageal cancer. Not in young people, but it's certainly not something you want to just ignore for years.

I refuse to spell oesophagus without the o by the way, sorry Americans ;)
 
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