Fast Relief of Heartburn & Acid Regurgitation

Medical management of GERD mainly uses proton pump inhibitors. Alginates plus Antacids also have proven efficacy. Tolerance and safety were good and comparable in both groups.

Alginates plus Antacids was non-inferior to omeprazole in achieving a 24-h heartburn-free period in moderate episodic heartburn, and is a relevant effective alternative treatment in moderate GERD in primary care.

Combined antacid–alginic acid preparations have been shown to be more effective than placebo in relieving GERD symptoms, based on measures such as lower global symptom scores, less acid regurgitation, and fewer days and nights with heartburn.


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Proton pump inhibitors — Stronger relief

But Alginate plus Antacids — for Quicker relief

H2 blockers and proton pump inhibitors work better than antacids, but if patient need very quick relief, antacids are an option. Antacids don’t do anything to prevent GERD, but they can be used on demand for symptom relief. 

Side effects of antacids are mild and include constipation, nausea, and diarrhea. Don’t overuse them: Some brands contain calcium, and too much calcium can lead to kidney stones.

Note: Any treatment for acid reflux should be accompanied by diet and lifestyle changes. Aim for no late night eating, elevating your head in bed at night, getting enough sleep, and so on. 

If symptoms continue for more than 2 weeks with an antacid, patient may need additional medication. If the patient’s heartburn is severe, the patient could be started on PPI therapy. 

This is for informational purposes only. You should consult your clinical textbook for advising your patients.