Appointments: 512-324-4373 1701 Trinity St | Austin, TX 78701

Antacids, a Gateway Drug?

Are antacids the gateway drug to chronic PPI therapy?

Are antacids the gateway drug to chronic PPI therapy?

Did you know that 1/3 of Americans suffer from heartburn at least once a month? Nearly every day 10% of Americans have acid reflux. With numbers like that, it’s probably safe to say you know someone with heartburn, even have a friend that carries over the counter antacids like TUMS, Rolaids or Pepcid, in their vehicle, purse or on their person at all times. Antacids are a reasonable and effective remedy for occasional heartburn, however, if you are consuming them daily, or multiple times throughout the day, perhaps it’s time to talk to a physician about other options. Antacids are the gateway drug. Antacids are non-addictive but if you become dependent on them to get through life, most likely there is a bigger problem and a need for further treatment. Perhaps your heartburn has progressed to true GERD (Gastro-Esophageal Reflux Disease). This is defined as persistent troublesome symptoms or actual damage to the esophagus. The most common first step is to begin a short term PPI regiment.

PPIs can be viewed as almost addictive. Not so much in the, I need my Nexium now, hunger for it way, but in that the body could develop temporary rebound acid production. This can lead to worsening stomach upset and symptoms from reflux.

If using the drugs for short period of time it may not be problematic, but they tend to breed dependency, say experts, leading patients to take them for far longer than the recommended 8 to 12 weeks; some stay on them for life.

Hospitals have been known to start patients on P.P.I.’s as a matter of routine, to prevent stress ulcers, then discharging them with instructions to continue the medication at home.  P.P.I.s can be safe when used according to the prescribed indication of up to six months for maintenance, though many physicians prescribe it for longer.

“Studies have shown that once you’re on them, it’s hard to stop taking them,” said Dr. Shoshana J. Herzig of Beth Israel Deaconess Medical Center in Boston. “It’s almost like an addiction.” P.P.I.’s work by blocking the production of acid in the stomach, but the body reacts by overcompensating and, she said, “revving up production” of acid-making cells. “You get excess growth of those cells in the stomach, so when you unblock production, you have more of the acid-making machinery,” she said.

With this in mind it is important to remember PPIs do not cure GERD, they don’t prevent the progression of GERD, they don’t prevent Barrett’s esophagus nor can they prevent or decrease the likelihood of cancer. PPIs only control symptoms.

--Tripp Buckley, MD

If you enjoyed this week's Blog, we think you would enjoy last week's Blog:  If PPIs are so great, why....

One response to “Antacids, a Gateway Drug?”

  1. Way cool! Some very valid points! I appreciate you writing this article plus the rest of the site is also very good.

  2. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Thanks a lot. I like this.

    viagra c-ring generic prescription viagra pages edinburgh sample
    viagra pills
    edinburgh uk viagra search cialis charles - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  3. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You actually revealed it really well!

    viagra banned commercial charlie sheen mexico pharmacy generic viagra
    viagra without a doctors prescription
    viagra triangle - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  4. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Many thanks, Very good information!

    buy viagra cheapest viagra find viagra edinburgh search pages
    buy generic viagra
    100 milligram phyzer viagra - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  5. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Amazing a good deal of fantastic data.

    alternate uses of viagra best herbal alternative to viagra
    viagra 100mg
    effects of viagra 25 mg - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  6. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Regards. Plenty of postings.

    what are the depression of viagra viagra drug scams
    generic viagra online
    viagra galloway - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  7. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Wonderful material. Many thanks!

    buying generic viagra viagra competitor pill
    viagra without a doctor prescription
    viva viagra theme song - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  8. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Kudos! Lots of content.

    most effective way to use viagra cialis genuinerx net viagra
    generic viagra 100mg
    viagra boring pages edinburgh affects boring - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  9. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Incredible lots of excellent facts.

    discount viagra offers how often can someone take viagra
    viagra online
    buy viagra iframe - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  10. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Valuable forum posts. Regards!

    warren buffett viagra four filters how do you take viagra
    buy viagra
    buy australian viagra - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  11. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You revealed this fantastically.

    medical reimbursement and viagra discounted perscription viagra
    generic viagra
    jackie corbin and viagra - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  12. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Many thanks, Very good stuff.

    viagra 50 major general tablets generic viagra mexico wholesale
    viagra 100mg
    viagra use tips - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  13. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You made the point.

    cheapest viagra on net buy viagra in uk
    buy viagra
    viagra pharmacies - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  14. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You actually mentioned this wonderfully!

    phentermine and viagra generic viagra rxmeds
    generic viagra online
    viagra name order viagra - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  15. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Kudos, A lot of tips!

    free mail viagra viagra photo woman
    buy viagra
    viagra effects on men - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  16. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Excellent info. Appreciate it.

    generic viagra cialis and levitra weaknesses of viagra
    viagra without a doctor prescription
    price viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  17. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You suggested it really well!

    what does viagra do for women where to get non prescipt viagra
    viagra without a doctor prescription
    subaction showcomments viagra archive older - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  18. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Kudos! Loads of forum posts.

    cialis viagra combo viagra study with women
    viagra generic
    viagra rx affiliate - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  19. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Thank you. I enjoy it.

    buy soft generic viagra cheapest take viagra and using penis pump
    viagra pills
    key achat viagra - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  20. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Truly plenty of good data.

    generic brand for viagra viagra search find cheap pages
    viagra 100mg
    site ebaycouk kamagra viagra sildenafil - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  21. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You actually said that fantastically.

    generic viagra price compare viagra exam erection problems cleavage
    buy generic viagra
    is all viagra the same - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  22. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Nicely put, Cheers.

    viagra corporate citizenship viagra overnight shipping fed ex
    buy viagra
    cialis genuinerx net viagra - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  23. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You reported this fantastically!

    viagra alternative puerto rico will alcohol effect viagra
    viagra online
    viagra false loans - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  24. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Seriously tons of excellent information.

    mixing coke and viagra horizon viagra
    generic viagra
    viagra poppers - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  25. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Cheers, Numerous posts.

    oral sex with viagra viagra and philippines pharmacies
    viagra without a doctors prescription
    natrural viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  26. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You expressed it really well.

    outdated viagra viagra over night
    generic viagra 100mg
    search viagra edinburgh find pages - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  27. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Thanks! Useful stuff.

    viagra photo woman buyimg viagra in australia
    viagra for women
    mens experience with viagra - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  28. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Whoa a lot of very good advice!

    viagra douane sex viagra xanax
    buy viagra online
    lavitra vs viagra - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  29. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Awesome facts. Kudos!

    viagra propecia cialias were to get viagra
    viagra online
    on line viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  30. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Nicely put, Appreciate it.

    find viagra free sites computer search buy pharmaceutical viagra
    generic viagra 100mg
    prescrtion for viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  31. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Great info. Kudos.

    viagra apotheke risks of viagra
    viagra pills
    patent viagra 1994 - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  32. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Fantastic forum posts. Appreciate it.

    how much are viagra cipla generic viagra
    viagra online
    viagra delivery two days - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  33. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Good data. Many thanks!

    prescription for the real authentic viagra viagra orders
    generic viagra online
    cialis vs viagra dosage equivalents - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  34. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Superb forum posts. Kudos!

    daily use viagra dosage viagra lower blood pressure
    viagra for women
    viagra levitra ingredients natural supplements - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  35. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You said it very well..

    find viagra edinburgh sites pages posted viagra patent expires us
    viagra pills
    viagra perscriptions on line - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  36. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    This is nicely expressed. .

    buy cheapest viagra online roy d mercer dog eats viagra
    viagra online
    viagra without prescription reviews - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  37. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Seriously many of good info.

    viagra substitute caribbean cruises puscifer v is for viagra
    viagra without a doctor prescription
    can viagra 100mg be dangerous - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  38. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You've made the point.

    generic viagra online uk do you eat before taking viagra
    buy viagra
    how to make viagra work faster - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  39. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Really quite a lot of terrific facts.

    viagra without prescription $1.00 viagra edinburgh find search free
    viagra without a doctors prescription
    viagra pharmacy sales london - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  40. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Appreciate it, A lot of advice.

    naked female viagra viagra work for venous leak
    viagra online
    herbal viagra formulations - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  41. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Wow lots of helpful advice.

    buy phentermine viagra meridia ultr viagra 34434 buy
    viagra without a doctors prescription
    one dollar viagra - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  42. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You reported it effectively.

    otc for viagra buying viagra over the internet
    viagra without a doctors prescription
    buy online pharmacy viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  43. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Info very well utilized..

    viagra replacements shop for viagra
    viagra pills
    patent expiration on viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  44. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Regards. Numerous information!

    better erection cialis or viagra viagra patent date
    cheap viagra
    where to order cheap viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  45. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Wonderful data, Appreciate it.

    tube 8 viagra and sex chinese herbal viagra pills
    buy viagra online
    u s viagra by mail - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  46. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Many thanks, Helpful stuff.

    alternate uses for viagra strengths of viagra
    buy viagra online
    how can i make homemade viagra - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  47. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Very well spoken genuinely! .

    what is in viagra pennysaver newspaper viagra
    generic viagra online
    how often can use viagra - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  48. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Really plenty of very good info.

    potency drug viagra medicare coverage for viagra
    cheap viagra
    viagra party theme - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  49. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Helpful advice. Appreciate it.

    cheap kamagra viagra does passport cover viagra
    viagra without a doctor prescription
    coffee viagra - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  50. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You actually revealed that really well!

    denmark in viagra viagra alike
    generic viagra
    least expensive generic viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  51. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Whoa a lot of terrific information.

    cialis viagra ranbaxy cheap edinburgh uk viagra ago articleid good
    buy viagra online
    viagra western union - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  52. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Good postings. Thank you!

    what to do when using viagra female viagra pill
    viagra for women
    analog viagra - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  53. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Nicely put. Many thanks.

    viagra cialis for ed cheapest viagra substitute sildenafil
    buy viagra
    carvedilol and viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  54. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You have made the point!

    instant viagra tabs viagra pillen
    viagra 100mg
    viagra mug - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  55. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Nicely put. Appreciate it.

    bob viagra interactions of different medications with viagra
    viagra 100mg
    viagra no perscibtion - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  56. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Valuable tips. Cheers.

    order viagra online a href viagra no longer works
    viagra online
    buy viagra cheap india pharmacy - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  57. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Nicely put, Appreciate it!

    arguments for coverage of viagra viagra uk sales
    viagra without a doctors prescription
    viagra and metoprotol interaction - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  58. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Incredible quite a lot of valuable facts!

    when viagra gel hits stores viagra patch
    buy viagra online
    viagra energy drink - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  59. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    You have made the point!

    paris france cheep viagra on line viagra
    viagra without a doctors prescription
    patrick adler kamagra generic viagra - https://genericviagrantx.com

    DavidSliny
    Terenceburse
    VictorItask

  60. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    With thanks. An abundance of postings!

    mens viagra blog viagra for altitude
    viagra for sale uk
    use of viagra - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  61. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Regards, Loads of write ups.

    what works better cialis or viagra buy onlinecom phentermine viagra
    generic viagra 100mg
    whats the generic name for viagra - https://genericviagramsl.com

    DavidSliny
    Terenceburse
    VictorItask

  62. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Awesome facts. Thanks!

    drinking with viagra viagra heart surgery
    buy viagra
    generic cialis pills and generic viagra - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

  63. AndrewSkync says:
    Your comment is awaiting moderation. This is a preview, your comment will be visible after it has been approved.

    Nicely put. Regards.

    non prescription viagra viagra pr cautions d'emploi
    cheap viagra
    viagra tricks - https://genericviagrarcp.com

    DavidSliny
    Terenceburse
    VictorItask

Leave a Reply

Your email address will not be published. Required fields are marked *

View Blog »

Latest News

23Nov

Thanksgiving Tips from Dr. Buckley

Following are some tips from Dr. Buckley to help reduce GERD symptoms: Schedule an earlier meal. It's best not to eat late at night if you suffer from GERD.   Another good idea is to serve lighter appetizers. Fatty foods like chips, dips, and cheeses are slow to empty from the stomach and more likely ...Read More »

Request More Information