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Prilosec for hiatal hernia symptoms..ok to take w/coumadin?

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  • Prilosec for hiatal hernia symptoms..ok to take w/coumadin?

    got a call from my PCP's nurse this afternoon.... he wants to start me on Prilosec for symptoms related to a sliding hiatal hernia (stomach upset, heartburn). I was reading on the internet with a warning if you are on coumadin...of course, which I am taking....anyone out there taking Prilosec?
    \"It is not length of life, but depth of life.\"

    Ralph Waldo Emerson

  • #2
    I've taken one brand or another of proton pump inhibitor (Prilosec, Prevacid, Protonix) along with coumadin for several years now. (I stopped taking Prilosec for awhile thinking my stomach problems with acid reflux had been resolved--I regretted it because the acid reflux returned. I won't go without the stuff now.) I also take (or have taken) calcium channel blocker and beta blocker while taking Prilosec/Protonix.

    I think just about everything has some reaction with Coumadin. Keep an eye on your INR while starting the medicine.

    Regards,
    Rob
    --Living life on the edge .. of a continent!
    Charter member: Tinman Club

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    • #3
      Rob,

      did your stomach get upset sometimes after you ate? I haven't started taking the Priolosec yet...the nurse told me to take 20 mg. every night for 2 weeks and then I think I take 40 mg. for another 2 weeks...I thought this was for short term use?
      \"It is not length of life, but depth of life.\"

      Ralph Waldo Emerson

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      • #4
        Cynthia,


        I think these drugs are for intended for long-term use. The benefits in the case of GERD (acid reflux) take some time to accrue, such as repair of damage to the esophagus. The proton pump inhibitor helps prevent acid from being generated. Maalox (or similar) is appropriate for immediate relief from stomach acid problems.

        My most significant problem when I went off prilosec was that I would cough, sometimes outrageously hard, from the irritation to the esophagus. I think this contributed to an umbilical hernia, which is next on the list to get fixed since I've just gotten the AICD item taken care of. The coughing did get worse following a meal, since the stomach was full and allowed acid to reach the esophagus.

        Knowing what I know now, I certainly wouldn't hesitate to begin taking these drugs. I don't ever remember a "ramp-up" in dosage, though.

        Good luck,
        Rob
        --Living life on the edge .. of a continent!
        Charter member: Tinman Club

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