Dr. Sharon Orrange - July 23, 2018
Can I just change my proton-pump inhibitor? That’s a question patients with acid reflux and heartburn ask me all the time. Whether for insurance purposes, cost, or ease of refilling, can you just switch from one proton-pump inhibitor to another?
Proton-pump inhibitors (PPIs) like esomeprazole (Nexium), pantoprazole (Protonix), omeprazole (Prilosec) and lansoprazole (Prevacid) are commonly used to treat acid reflux (GERD), acid regurgitation and heartburn. See More
Dr. Sharon Orrange - June 20, 2018
Medications for acid reflux, heartburn, and GERD (gastroesophageal reflux disease) come in three flavors: H2 blockers, proton-pump inhibitors (PPIs), and antacids. They all work differently and are geared towards either prevention or quick relief. If you’re struggling with reflux and want to start treating the symptoms yourself, here’s what you need to know:
H2 blockers — start here
H2 blockers are short-term preventative medications that decrease stomach acid. See More
Tori Marsh - June 13, 2018
Patients often turn to generic medications for cheaper alternatives to brand-name drugs, but over the past couple years, prices for generics have increased substantially, and some of the most expensive generic medications run above $100 for a month’s supply. Every year, people are paying more for them despite insurance coverage due to high deductibles and formulary changes.
Dr. Sharon Orrange - November 06, 2017
Most diarrhea will resolve within 24 to 48 hours—if it’s caused by viral gastroenteritis (a stomach bug) or food borne illness. If your diarrhea is hanging on and not resolving, take a look at your medications. It can be challenging to identify which medication may be causing drug-induced diarrhea, especially if you’re taking multiple medications. Here are some well-known offenders commonly associated with drug-induced diarrhea. See More
Elizabeth Davis - August 22, 2017
If you’ve got health insurance, now’s a good time to be paying attention. Each year, prescription coverage – the “formulary” – changes, and yours will likely be changing in 2018.
Express Scripts and Caremark, companies that handle pharmacy benefits for more than 200 million Americans, are removing more than 80 prescription medications from their formularies at the end of 2017. See More
Dr. Sharon Orrange - March 16, 2017
Many of you don’t want to rely solely on medications for heartburn and reflux symptoms. While proton pump inhibitors—omeprazole (Prilosec), pantoprazole (Protonix), esomeprazole (Nexium)—and H2 blockers—Zantac, Tagamet, Pepcid—do work, there may be downsides to long term use.
Lifestyle changes are a must: limit acidic foods, eat smaller meals, avoid late night eating, keep the head of your bed elevated—but is there anything else you can take for heartburn and reflux? Here are ten common complementary and alternative therapies used for heartburn and gastroesophageal reflux:
- Probiotic supplements. See More
Dr. Sharon Orrange - May 12, 2015
Nexium (esomeprazole) certainly wins when it comes to marketing. While it is still available by prescription as Nexium 40 mg daily, there is now a generic esomeprazole and an over the counter form (Nexium 24HR) which is 22.3 mg. Yet somehow, Nexium is still the fourth best selling brand name prescription drug in the United States. Why is that? Well, purple does well with audiences which is why drug companies market their drugs in purple packaging . See More
Roni Shye - June 05, 2014
Which manufacturers have been affected?
Actavis, Aurobindo, Mylan, Teva, Torrent, and Wockhardt
What is the reason for the backorder?
At this time Actavis, Aurobindo, Mylan, Teva, and Torrent could not provide a reason for the shortage.
Elizabeth Davis - October 29, 2013
For many Americans with health insurance, more than 50 popular brand-name drugs may no longer be covered starting in January 2014. Express Scripts and Caremark, companies that handles pharmacy benefits for more than 200 million Americans, are removing almost 50 brands from their formularies at the end of 2013. More information is below.
What are Express Scripts and Caremark?
Express Scripts and Caremark are companies that administer prescription drug benefits for many health insurance companies and Tricare. See More
Dr. Sharon Orrange - February 21, 2013
It seems everyone is taking them. Proton pump inhibitors (PPIs) work by reducing the amount of acid in the stomach. Prilosec OTC, Zegerid OTC, and Prevacid 24HR are sold over the counter for the treatment of frequent heartburn. Nexium (esomeprazole), Dexilant (dexlansoprazole), Prilosec (omeprazole), Zegerid (omeprazole/sodium bicarbonate), Prevacid (lansoprazole), Protonix (pantoprazole), Aciphex (rabeprazole dr) and Vimovo (esomeprazole/naproxen) are available by prescription to treat conditions such as gastroesophageal reflux disease (GERD), stomach and small intestine ulcers, and esophagitis. See More