Do not wean off PPIs or make any changes in use without consulting a physician first! Make sure that you are closely monitored during the process of lowering your dosage of PPIs. It is also important to have doctors watch other medications you may take. The return of normal acid levels in the stomach can change the absorption level of many medications.

According to the American Gastroenterological Association, more than 60 million Americans experience acid reflux monthly, and up to 20% of those suffer from gastroesophageal reflux disease (GERD), a condition of chronic acid reflux. Heartburn is the pain caused by refluxed stomach acid irritating the esophageal lining. Antacids are usually sufficient in treating the majority of heartburn sufferers, but those with GERD are frequently prescribed a Proton Pump Inhibitor (PPI) by their primary care physician or gastroenterologist.

PPIs reduce or eliminate the pain associated with GERD by blocking the stomach’s production of acid, thus lowering the acid level in the stomach that might reflux into the esophagus and irritate the lining. There is no question about it. PPIs can be used effectively to help in the healing of ulcers, acid damage, and with antibiotics from Helicobacter pylori,1 but is it the right choice for the treatment of your condition?

Get Off PPIs in 5 Steps:

  1. Gradually reduce the dosage by 25%-50% each week until you are taking half your current dosage. Wean off PPIs slowly to reduce the likelihood of acid rebound.
  2. Reduce intake frequency. If taking 2x daily, take once a day for a week. When at once a day, step down to every other day for a week.
  3. Change to an H2 blocker and wean down from H2 blocker to antacid using the same steps as in 1&2.
  4. At this point, occasional heartburn can be treated with antacids and an H2 blocker when necessary.
  5. Lifestyle and diet changes should be permanently maintained.

For the complete details on weaning off PPIs and the 5R Program for lifestyle modification, please read the complete article.

Taper off PPIsMisuse Of PPIs

While PPIs provide relief, they do not cure GERD. They only mask the problem by removing the pain associated with heartburn. If the medication is removed, the symptoms are likely to recur, thus proving this to be an ineffective treatment for GERD. The only way to cure GERD is for the sufferer to take an active role in managing the disease through a lifestyle change. Too many of us take the easy way out and do not take care of ourselves like we should. Eating healthy foods in proper proportions, limiting alcohol, and being physically active are some of the basic lifestyle changes that will eliminate GERD for most people.

Many who suffer from heartburn take PPIs without fully understanding how they are to be used. This is partly due to the lack of self-education on the part of the patient and a failure on the part of many caregivers to provide patients with proper instructions on how to take the drug. This lack of knowledge and fact that many PPIs are available as over-the-counter (OTC) medications lures patients into a false sense of security in the drug’s safety. Too many patients continue taking PPIs for months or years because they do not understand the risks. In the United States, the packaging on OTC PPIs clearly directs taking it for no longer than 14 days or more often than every 4 months unless directed by a doctor. This is to prevent negative side effects that can occur when using the medication long term. Though your doctor may prescribe you a PPI for a different time interval depending on your health issue, they are to be taken short term and in the lowest dosage and interval possible to achieve the desired effect while healing from acid irritation takes place.

Long term or large dosage use of PPIs for GERD, acid reflux, or heartburn is a poor choice for those without severe symptoms. PPIs are valuable in the short-term treatment of GERD, but long-term use may lead to the following health issues:

  • Increased risk of heart attack.2
  • Increased risk of pneumonia.
  • Bacterial infections introduced through foods.
  • Increased risk of a Clostridium difficile infection.3
  • Decreased absorption of vitamin B12, calcium, magnesium, iron and other nutrients leading to bone fractures, hypomagnesemia, and cardiac arrhythmias.4,5
  • Reduced ability of the lower esophageal sphincter (LES) to close due to low stomach acid levels. Higher acid levels are needed to induce the proper closure of the LES.
  • Increased risk of Barrett’s esophagus which can lead to cancer.6
  • Increased risk of esophageal cancer.

[For greater details on long term use, side effects, and an understanding of the use of PPIs in treatment, please see the post “PPI – Proton Pump Inhibitor“.]


How to Wean Off PPIs4 Reasons For Weaning Off PPIs

  1. If you are exceeding the recommended dosage, you are outside the FDA’s guideline for use of the drug and are at risk of great health problems.
  2. If you initiated taking PPIs without a doctor’s approval and guidance. Though available in OTC form, PPIs should not be taken without direction from your doctor.
  3. If you are taking them for regulating heartburn and not for relief from heartburn while healing from damage caused by acid erosion.
  4. If you are breastfeeding, pregnant, or may become pregnant. They can expose the baby to risk.7


What Are The Side Effects Of Weaning Off PPIs?

The body is designed to produce stomach acid and will compensate for the drop of acid levels when using PPIs. Hypersecretion of stomach acid can occur when there’s a sudden discontinuation of PPI medication. In studies, this discomfort from over-production of acid affected 44% of patients lasting from one to three weeks. The rebounding of acid seems to be related to the degree of acid suppression.8,9 Therefore it is important to understand that this over-production of acid can occur, to be prepared for this possible side effect, and to slowly lower levels of your PPI when you wean off in order to minimize this problem.


Steps For Weaning Off PPIs

A. Understanding The Process Of Weaning Off PPIs

  1. You should consult with a physician before making any change in PPIs and before implementing the 5R Program for Lifestyle Modification listed below. Your doctor can determine if these health steps are right for you. We are all different and modifications might be needed to accommodate your health conditions and any medications you may take.
  2. Do not attempt to wean off your PPI if you are being treated for ulcers, acid damage, Helicobacter pylori, or other condition where PPIs are needed for treatment. Your doctor can help you make this determination.
  3. The return of normal acid levels in the stomach can change the absorption level of other medications you take.
  4. If medications are controlling your symptoms you may be able to reduce the dose of PPIs you’re on or wean off them altogether. GERD patients are often prescribed PPIs in dosage and frequency higher than needed. We are all different and the doctor is only making an estimate of what amount you might need to control your symptoms. If you are one of the many who’ve been overprescribed PPIs, symptom control may be achieved at a lower dosage, frequency, or even with a less potent form heartburn medication like an H2 blocker.
  5. There are 3 levels of heartburn medications. They control the symptoms of heartburn but do not cure the underline cause of heartburn. If a lower dosage of PPIs or a lower level heartburn medication can treat your symptoms, it is important for your health to find the minimum level of treatment while still controlling heartburn.
    • Level 1: Antacids help neutralize stomach acid. They act quickly but are short-lived, usually less than 2 hours. They are great for combatting the occasional heartburn brought on by ingesting heartburn trigger foods or drink.
    • Level2: Histamine receptor blockers (H2 blockers) decrease stomach acid production, thus decreasing heartburn due to acid reflux. H2 blockers can provide up to 12 hours of relief.
    • Level 3: PPIs are used when antacids and H2 blockers aren’t providing relief. It may take days before they start providing relief, usually 48-72 hours.
  6. We must understand that GERD is not caused by too much acid, but by acid being refluxed into the esophagus where it does not belong. Stomach acid can reflux when the LES doesn’t close properly. Acid is actually needed. It just needs to be in the stomach where it belongs. Acid triggers the LES to close keeping the acid out of the esophagus. Certain foods, overeating, abdominal pressure, medications, alcohol, nicotine, and obesity are the main offenders that can affect an otherwise properly functioning LES. These offenders can impair the lower esophageal sphincter’s ability to close properly allowing acid to reflux into the esophagus.
  7. Lifestyle choices are tied to GERD in most cases. A positive change in diet, exercise, and stress levels will be required to wean off PPIs. This also includes a reduction in weight for many which will likely occur when the change in diet, exercise, and stress management are implemented.
  8. It is important to make small gradual reductions when you’re weaning off PPIs.
  9. Many are fortunate and can easily lower PPI dosages. Others are not as fortunate. Weaning off PPIs is not possible for those whose disease has progressed too far. These people will have to stay on PPIs. Remember PPIs do not cure GERD. They only mask the pain. GERD can still progress while taking PPIs. The goal when unable to stop taking PPIs is to find the right level of medication for your health and well-being and no more.
  10. We are all different. What works for one may not work for another. It is important to take it slow and step back if your symptoms substantially increase.
  11. It will be easier for people with less severe GERD symptoms to wean off PPIs and also easier for those who have taken the drug for a shorter time period and at a lower dosage than those with more severe issues who have taken high dosages for many years. There are even a significant number of long-term users taking PPIs for GERD who were misdiagnosed and don’t even need to be on the drug. This is primarily seen in those who did not have an endoscopy performed proving erosive esophagitis or a positive pH test. Weaning off PPIs will be easiest for those who were misdiagnosed.
  12. Keeping a heartburn journal during this time will help you understand your triggers and any setbacks you have while you wean off PPIs.
  13. The ultimate goal of this program is to wean off PPIs and return the stomach to proper function.


B. The 5R Program For Lifestyle Modification When Weaning Off PPIs

If you have a proven diagnosis of GERD and have not changed your lifestyle, you will still have GERD when you wean off your PPI. This is because PPIs do not cure GERD. They control the pain of heartburn by reducing acid irritation. Heartburn will return if lifestyle changes aren’t implemented. GERD can only be corrected through diet, exercise, and stress management.

We can address the treatment of GERD by addressing the 5Rs of functional medicine: remove, replace, repopulate, repair and rebalance. Depending on your overall physical condition, the 5R Program should be in place one week to a month before you begin weaning off your PPI. Stomach acid is needed to properly break down food for absorption, so the dietary changes will become additionally effective when the stomach is back to producing acid at its optimal level.

  1. Remove. Remove the heartburn triggers.
    • Heartburn trigger foods: Processed food, fried food, fatty meats, dairy products, spicy food, the allium family (garlic, onions, shallots, leeks, and chives), tomatoes, acidic fruits, alcohol, coffee, caffeine, carbonated beverages, mint, chocolate, and candy containing acid in any form. Foods you are allergic to may also cause you heartburn and should be avoided. It would be good to keep a heartburn journal to log any other foods that might trigger your heartburn. We are all different and some food might cause you problems where they wouldn’t someone else. Heartburn trigger foods should be avoided because they can cause increased acid, irritation, and weaken the closure of the LES.
    • Excess weight: Most of us could stand to lose a little weight around the middle. Extra weight causes pressure on the LES.
    • Tight Clothes: Avoid tight-fitting clothes around your waist and stomach to prevent added pressure on the LES.
    • Poor eating styles: Do not overeat and smaller meals are best. Consider 4-5 small meals spaced throughout the day instead of the typical three. Eat slowly and chew properly. Putting the utensils down after each bite helps slow down eating. Following these eating guidelines will help aid the digestion process, let us know when we are full, and help us relax.
    • Poor positions: Remain upright during the day. Reclined and slouched positions cause stomach contents to press on the LES.
    • Nighttime heartburn triggers: Fast 2 or more hours before bed. Sleeping with your torso elevated by placing six-inch blocks under the head of your bed or by using a wedge pillow will help stomach acids from refluxing. And lying on your left side allows the stomach to hang lower preventing its contents from placing as much pressure on the LES.
    • Tobacco and Nicotine: This includes smoking tobacco, chewing tobacco, nicotine patches and nicotine gum. These products cause irritation and relaxation of the LES along with other heartburn producing side effects.
    • Medications: OTC and prescription medications along with supplements may cause heartburn. It’s best to consult your doctor to see if some heartburn producing medications can be taken in the morning or hours before bedtime to reduce the chances of nighttime heartburn.
    • Stress: Learn how to de-stress.
  2. Replace
    • Nutrition: When the heartburn trigger foods are removed, we are left to eat more nutritious foods which will boost our overall health and help us maintain a healthy weight.
    • Vitamins and minerals: PPIs cause deficiencies in vitamin B12, calcium, magnesium and iron. Supplements may be needed to raise your levels of these.
    • Acid: Consider taking a betaine hydrochloride supplement. Some people benefit from adding acid. Stomach acid aids in the proper function of the LES, breaks down food, and stimulates digestion. Avoid any betaine hydrochloride supplement containing NSAIDs or steroids. They can damage or irritate the digestive lining.
  3. Repopulate
    • Probiotics: Low stomach acid levels can allow unhealthy bacteria to flourish in your gastrointestinal tract. Consider taking probiotic supplements and ingesting fermented food or drink containing probiotics to reintroduce them into your system.
    • Prebiotics: Prebiotics are nondigestible carbohydrates that serve as a food source for probiotics. Prebiotics are available in supplement form and many foods such as artichokes, asparagus, bananas, barley, beets, carrots, flax, garlic, leeks, legumes, oatmeal, onion, radishes, wheat and more.
  4. Repair. Mucilage is a thick, gluey substance found in plants that help coat and build up the mucous membrane of your gastrointestinal tract to protect against acid and promote healing. Take one or more of the following forms of mucilage. If you are experiencing esophageal irritation, make sure to take a form that coats the esophagus and not take the capsule or tablet form.
    • Licorice in deglycyrrhizinated form, DGL
    • Aloe vera reduces inflammation and irritation. It also promotes healing, though it can serve as a laxative as well, so watch how much you take. You might look for some with the laxative component removed. Aloe vera can be purchased in a number of forms: juice, gel, powder, softgels, and capsules. Only use forms of aloe that are prepared for internal use.
    • Slippery elm
    • Marshmallow root
    • Throat Coat Tea (Traditional Medicinals) contains licorice root, slippery elm, and marshmallow root.
  5. Rebalance
    • Decrease stress: Stress can increase sensitivity to acid and should be managed through exercise, enjoyable activities, soothing music, aromatherapy, meditation, prayer, massage, pets, friends, sex with a partner, laughter, sleep, etc.
    • Exercise: Make sure you’re performing exercises that reduce heartburn risk and wait two or more hours after eating to avoid added pressure on the LES.


C. The Process For Weaning Off PPIs

There is no infallible way to know if you will be able to decrease or wean off PPIs without trying. We are all different and have to be treated as such when making medical choices. This is the main reason why it’s important to have your doctor approve and monitor your progress when weaning off PPIs. That said, weaning off PPIs has been successful in the majority of patients.10 If you have a rebound of heartburn during the following steps, back up in the process and take it slower. Also, consult your physician.

The basic steps to wean off PPIs:

  1. Gradually reduce the dosage by 25%-50% each week until you are at 25%-50% of your current intake. If you go at 50%, this will take one week. If you go by 25%, this will take 3 weeks. The slower you wean off PPIs the less likelihood of acid rebound.
  2. Once you are at a low daily dose, reduce the frequency in which you take the drug until you are off the PPI. If you are taking the PPI twice a day, step down taking it once a day for a week. When down to once a day, step down to taking it every other day for a week. If heartburn becomes severe, in either or both of these steps try substituting an H2 blocker where you once took the PPI.
  3. Step down to the use of an H2 blocker and/or antacid once the above two steps have been completed. Though H2 blockers don’t have the severe side effects PPIs have over the long term, it is healthy to keep weaning down from H2 blocker to antacid use alone. Taper off the H2 blocker over the next 2-4 weeks using similar steps to those above.
  4. At this point, you should be able to treat the occasional heartburn on demand with antacids or with antacids and H2 blockers when necessary.
  5. Once you have weaned off the H2 blocker you may find you have no need for the mucilage. You can stop taking it or wean off of it as well.


D. Maintenance After Weaning Off PPIs

Remove and Rebalance, the first and fifth Rs of the 5R Program for Lifestyle Modification will have to be adhered to throughout your life to prevent GERD from recurring. The other three Rs need to be revisited where necessary. If you are adhering to the steps of Remove and Rebalance and heartburn becomes more frequent, revisit the other three.

In the Maintenance phase after weaning off PPIs, you should be able to take antacids or antacids and H2 blockers when necessary. You may also find natural heartburn remedies helpful. Don’t be discouraged if the occasional round of PPIs is needed in the future. When taking future dosages of PPIs, adhere to the acceptable amount recommended by the FDA taking it for no longer than 14 days or more often than every 4 months. Remember to always take the lowest level of medication you can while keeping your symptoms within your level of satisfaction.



Don’t rush the process when weaning off PPIs. Remember, the longer you have taken them the longer you will want to take when weaning off to prevent an overproduction of acid. We are all different so consult your doctor before weaning off PPIs. Some people need to take them for longer periods of time than others.

  1. kirsty 2 days ago

    I’ve developed reflux esophagitis 2 months following surgery and viral meningitis where the hospital gave me ibuprofen and antibiotics . ( Not overweight, don’t smoke, eat vegan so aside from the odd tipple not really high on lifestyle risk factors for GERD) I’ve been on PPIs lansaprazole 3 weeks and have reduced to 15mg in the morning. Recently I developed a new abdominal pain when I don’t have heartburn. How long can you take a PPI for before it causes SIBO or other gastric issues? Should I come off it if this has happened? My GP seems unconvinced of a connection but I worry the pills are making me worse. Thanks

    • Author
      Steve Hood 2 days ago

      Hello, Kristy! Always follow the advice of your doctor, pharmacist, and the directions on your medication. Your doctor should know your situation best… Antibiotics destroy both good and bad bacteria in the digestive tract without the proper balance of bacteria GERD, SIBO and other digestive issues can occur. NSAIDs like ibuprofen can also cause stomach irritation and heartburn… PPIs are great for blocking acid and allowing irritated esophageal tissue to heal. You can work to rebalance bacteria in your digestive tract while still being on PPIs. You might be interested in the articles on SIBO and heartburn and on probiotics for heartburn… Concerning your question about how long one can be on PPIs before developing SIBO or other gastric issues, well, there’s no specific timeframe. Everyone is different. You might talk with your doctor to see how long you will be on PPIs and if an H2 blocker might be used for symptoms instead. Hope you find relief from the abdominal pain soon. Well wishes!

  2. akash 4 weeks ago

    Hi Mr.Steve Hood ,could u pls give me some suggestions regarding my health condition ? I am suffering from small hiatus hernia n gerd since last 5 months .,recently i have been feeling like nausea as I have stopped taking any medication ? Thanks.

    • Author
      Steve Hood 4 weeks ago

      Hello! I’m sorry you’re suffering. Nausea is a side effect of acid reflux. You might look at the Mediterranean diet and drinking alkaline water. It’s has been proven to be as effective at treating acid reflux as PPIs. There are many other helpful articles on the website that may be of help. Please speak with your doctor to see if diet changes or if other remedies may be appropriate in your situation.

  3. Sharron 2 months ago

    Hi I have been taking rabeprazole for about 18 months. My nurse practitioner told me to stop taking them. So I stopped cold turkey. I am now having severe heartburn two hours after I eat. It lasts for quite a long time. I try gaviscon but it doesn’t help. My granddaughter told me to take Apple Cider vinegar and double my probiotic. It’s been over a week and I don’t see much improvement from taking the vinegar and twice the amount of probiotic. I really don’t want to start the drug again and have to wean myself off of it. Is there an alternative or do I have to start taking the rabeprazole again and slowly wean myself off of it?

    • Author
      Steve Hood 2 months ago

      Hello Sharron,

      H2 blockers can be of help when getting off PPIs. Have you tried them in addition to Gaviscon? Ask your nurse practitioner about taking them to relieve your acid reflux symptoms. They will greatly reduce stomach acid and don’t have the side effects of PPIs like rabeprazole. “3 Levels of OTC Heartburn Medications” has a list of popular H2 blockers.

      I know the acid rebound from getting off rabeprazole has you in great discomfort. I hope you feel better soon!

      Best wishes!

  4. Samantha 2 months ago

    I have been on 30mg twice a day of several different PPI’s for over 5 years. I am 115 lbs, 4 11″ petite 38 year old women. I’m struggling to get off these things! Every time I try I get horrible sore throats or where I have a strange feeling in my throat like it’s closing or a ball in my throat (horrible feeling). I’ve had so many test and everything looks normal (thank GOD). I just got diagnosed with SIBO which can be caused by heavy doses of PPI’s and now finishing up an antibiotic. I feel like this drug has made my situation worse and if 5 years ago I just took it for a few weeks, as it’s attended to be taken. I would never be in this situation. The FDA has stated not to take PPI’s longer then a few weeks. I wish my doctor would have told me that I would of never continued this long. Right now I’m just trying to wean down by taking 30mg in the morning and then take 15mg at night and I already have a sore throat. It’s completely hopeless, I feel like I will have to stay on these things for the rest of my life.

    • Author
      Steve Hood 2 months ago

      Hello Samantha,

      It can be difficult to get off PPIs but you can do it!

      Heartburn is worse at night. Speak with your doctor about reversing the times you’re taking the PPI to take 15mg in the morning and 30mg at night. Taking an H2 blocker and/or antacids can help when heartburn gets bad.

      When on PPIs for a long time intestinal flora may be out of balance. Antibiotics also kill off good bacteria in your digestive tract. Probiotics can prevent heartburn by balancing healthy and unhealthy bacteria in the digestive tract to reduce the instance of acid reflux.

      The closing or a ball in your throat could be dysphagia, a condition that can be caused by chronic heartburn.

      Hang in there!

  5. Cristiane 3 months ago

    Hello! I’ve been trying to reduce Zantac from 450mg a day to half of the dosage. Could I cut Zantac in half? Does it change its action in the body? Excellent article, thank you.

    • Author
      Steve Hood 3 months ago

      Thank you, Cristiane! You will need to talk with your doctor and pharmacist. Controlled release medications should not be cut in half. Lowering dosages of medications that aren’t controlled release is common practice though dosages may vary when you divide them. Buying lower dosages may be the better route if you have trouble regulating the dose when dividing the medication.

  6. Toto 3 months ago

    Hi, I am taking pantoprazole since 2 years ago but before then I was taking omeprazole for about 2yrs as well. I know it’s both under PPI but for me, Pantoprozole works more effective. But since I read about the worst side effect of the PPI for a long period of time used I am so concerned that I might be one of 25% who will have a short life expectancy. So I made a research myself and I found out that there is this DGL Licorice with the same purpose. although I haven’t read any negative side effect sofar regarding this med. Could some one tell me if this has the same side effect with PPI?

    • Author
      Steve Hood 3 months ago

      Hello Toto,

      Deglycyrrhizinated licorice (DGL) is a dietary supplement used to provide relief from heartburn, indigestion, stomach ulcers, and more. It is not a PPI and does not lower stomach acid production. Nor does it have the same side effects of PPIs.

      The use of DGL as a heartburn remedy is different from PPIs. DGL is a form of mucilage that coats and protects the digestive lining to help prevent acid irritation. Licorice in deglycyrrhizinated form, DGL, is generally considered safe and should always be used when taking licorice to avoid the potential side effects of glycyrrhizin.

      Glycyrrhizic acid or glycyrrhizin is a substance in natural licorice that can cause symptoms of hypertension and edema. For those who are pregnant glycyrrhizin causes shorter gestation periods, miscarriage, low birth weight, and allows cortisol to penetrate the placenta impairing brain development in the fetus. Deglycyrrhizinated means that the glycyrrhizin has been removed to avoid these symptoms.

      Do not make changes in medication or take any medication or supplement without first consulting a doctor.

      Hope I was able to make some clarifications for you. Best wishes!

  7. Jim 3 months ago

    I’ve been on 20 mg/day Omep for over 10 years. Just once in the AM. it seems to take care of my heartburn, but I’d like to get off them if I could. My doctor says I’m fine forever at my dose but has also said if I want to try to get off them, go off slow just like you’ve said. My question is about the dose. Is 20/day nothing to worry about? My weight is good, overall health is good with a few issues that 60+ men get, but the long term nature of the drug concerns me.

    • Author
      Steve Hood 3 months ago

      Hello Jim. Thanks for getting in touch! Removing the use of any drug that isn’t needed is usually the wise choice. Trust in your doctor’s advice. Your doctor knows you and your individual situation. If your doctor is onboard with tapering off omeprazole, it may benefit you to see how you do without the PPI. If you taper off omeprazole and future symptoms aren’t adequately controlled by use of H2 blocker and/or antacid, you can always go back on omeprazole.

  8. Mary 4 months ago

    What a life-saver finding your website. I have been taking 2 x 20 mg Omeprazole in the morning and 2 x 150 mg Ranitidine in the evening for the last 6 months. I have significantly changed my diet, lost weight, upped my exercise and now feel confident that I can start the process of cutting back on these medications. I will follow your recommendations for doing so.

    • Author
      Steve Hood 4 months ago

      Hello Mary! Thank you! Congratulations! You’ve made a great amount of progress! Much of the hard work is behind you now. Making those changes in diet and exercise to lose weight are a challenge. Be sure to cut back on the Omeprazole first. Ranitidine will help in your success and doesn’t have the same harmful side effects as a PPI. Wishing you the best! Keep us informed of your progress.

    • Grace 3 months ago

      Mary, Take your time reducing your dosage. As the article says…it is different for each person. Be patient.

  9. Dan 4 months ago

    I’ve been taking 3 omeprazole a day (20 mg/dose) for 10 years. I tried cutting back to 2 a day about two years ago, but I ended up with a severely irritated esophagus and had to go back to 3. After cycling through several gastroenterologists since then (they all told me that omeprazole is safe and to just live with it), I finally found one helping me to cut back with the help of liquid Carafate, an ulcer medication. I feel much healthier just cutting back to 2 omeprazole a day, and I know I will feel even better on 1 a day.

    • Author
      Steve Hood 4 months ago

      That’s wonderful news, Dan! Thrilled you’ve found a gastroenterologist that’s helping you wean off PPIs and that you’re feeling better! Thank you for sharing your experience. Cutting back on omeprazole can be a challenge and you’re succeeding! Keep us informed of your progress. Your progress is inspiring!

  10. Ashish 4 months ago

    Good article but I am on PPI daily once in morning since last 3 years.. since I detected with symptoms of blotting heaviness restlessness and in easiness which ease out once I burp from mouth..

    I am not able to get rid of PPI.. trying since last 1 and half year and facing stomach upset issue frequently

  11. nagarathinam 5 months ago

    It helped me wean off the Protonix while gradually cutting the days I took the PPIs. BTW, my Internist first prescribed Prilosec, which was worse on my gut than the IBS I was also experiencing at that time.

  12. Saud 7 months ago

    Hi! im Saud Kadir 17 years old from philippines
    i was diagnosed with what you call GERD and my medications are too much i have been given a Domperadon 3xday(30pcs),Augmentine 3xday(30pcs), nexium 2xday (20) pcs
    and Gel-malicid 3xday (10pcs). i have to drink it in ten day and also i have given a vitamins cause that doctor said that i am Underweight or skinny and give me Vitamin(m) and ascorbic acid… i need to drink it for 10 days.. is it okay

    • Author
      Steve Hood 7 months ago

      Hello Saud Kadir! Thank you for reading and your question. I too had GERD at a young age and wish you the best on your road to recovery. There are many different treatment options for GERD. Lifestyle and diet changes (see those in this post) are typically required to eliminate GERD. Medications are necessary at times in the treatment process. Your doctor knows your medical conditions and is the best person to consult conserning treatment. How To Treat Heartburn has many articles that may help you better understand your condition. Please discuss the treatment options in the posts to determine with options might be of benefit in your situation. Best! ~ Steve

  13. rahmat 1 year ago on rabotide 20mg X 1 daily for about 2 months..what are the best way to wean off by the way i was diagnosed with ulcer and gastritis..thanks

    • Author
      Steve Hood 1 year ago

      It’s important to discuss weaning off your PPI with your doctor. You will need to make sure the timing is proper with the treatment of your ulcer and gastritis. This article outlines the steps for weaning off PPIs like Rabotide/Aciphex (Rabeprazole Sodium). Please discuss the steps with your doctor to determine the best plan of action for your situation. Wishing you the best in your healing process!

  14. Rod 1 year ago

    Wow! My doctor said not to worry about the side effects….Very scary as I am on a permanent daily prescription. Thanks for the info!

    • Author
      Steve Hood 1 year ago

      Hello Rod! Some people with certain conditions do have to be on them long term, but PPIs do have bad side effects. If your condition can be managed by use of other treatments and lifestyle changes, research shows it best to avoid PPIs. When possible, always get a second doctor’s opinion. Discuss your concerns and treatment options with your doctor. Best!

  15. Caroline 1 year ago

    Excellent article…very informative!

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