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Drug InfoNet Doctors' Answers to Frequently Asked Questions - Prevacid
Doctors' Answers to "Frequently Asked Questions" - Prevacid
These comments are made for the purpose of discussion and should NOT be used as
recommendations for or against therapies or other treatments. An individual patient is
always advised to consult their own physician.
Prevacid and Vitamin b12 deficiency [posted
Question: I take 30 mg of prevacid each day (two, 15 mg tablets) because of a 14
month old diagnosis of short Barretts Esophagus (1.5 cm, no dysplasia). I have been told
that taking this much prevacid can lead to a vitamin b12 deficiency since prevacid reduces
the ability of intrinsic factor to process the vitamin. I have also been told that taking
additional vitamin b12 orally will not help because it will not be processed. I now have
some slight symptoms of a vitamin b12 deficiency (periodic tingling in the feet and hands,
some unexplained fatigue, slight muscle spasms and an odd sense that my balance is not
quite right). Is it true that prevacid can lead to vitamin b12 deficiency?
Answer: I guess I'm not sure what you are asking me. The problem with
B 12 is the decrease in acid necessary to cleave B12 from its intrinsic food source. This
is theoretical and hasn't been seen clinically, as far as I know. However, oral B12 would
fix this problem.
Prevacid & Hair Loss [posted
Question: I am 54 yr. old and have taken Prevacid for 6 months. About 2 months ago
I began to notice hair loss for the first time. Is there a relationship?
Answer: Possibly, listed as one of the side effects, stop it and see.
Prevacid vs. Prilosec [posted
Question: I have been taking Prilosec for a year. The Insurance company now says
that it will pay for Prevacid. What is the difference? Will Prevacid work as well for
stomach acid/reflux as Prilosec? Are there any drawback to either medicine? Am I better
off having the surgery to fix the reflux? I realize that this is just general information
and that I will get more information from my doctor. I am working with our family doctor.
I am just interested in additional opinions. Thanks for listening and responses.
Answer: The drugs work about the same. If anything Prevacid might be a
little better, but clinically about the same. If you are having severe reflux and are
young, surgery is an alternative. If only occasionally and older, focus on the Prevacid.
Can You Crush Prevacid in Order to
Ingest It [posted 11/10/98]
Question: My daugher was diagnosed with gastritis a week and a half ago. She has
cerebral palsy and has great difficulty eating or swallowing. Her total nutrition is fed
through a G-tube, as her medication is also put through the G-tube. She was prescribed
prevacid to help her with her reflux and gastritis, but the bottle says to "swallow
whole, do not crush". In order to get the medication through the G-tube, I have found
that I have to lightly crush the contents, otherwise they get stuck. Is this all right? I
sent an e-mail last week, but have not heard anything. Thanks
Answer: Prevacid can be crushed, prilosec cannot.
Concerns of Prevacid & Lipitor
Interactions [posted 10/28/98]
Question: I have been taking Lipitor for a year with good results 147 total 78 ldl
40 hdl 140 tri. Started taking prevacid two months ago for severe acid reflux. Taking 2
30mg's per day for acid control. Last week had Cholesteral panel redone and number were
very high for me 199 total, 114 ldl, 40 hdl, 223 tri. Diet is unchanged. Could prevacid
react or cause Lipitor from working?
Answer: Not that I'm aware of. Recheck it. Have you gained weight since you
stomach has been doing better?
Longterm Concerns about Prevacid
Question: I was wondering if there were any side effect from long term usage of
prevasid. Or what are the short term effects are. Thank you
Answer: Hasn't been around long enough to get an accurate assessment of long
term effects. Short term effects are usually GI, nausea, diarrhea etc. There is a long
list of possible problems, but, they are rarely seen.
Headaches from Prevacid [posted
Question: After taking 30 mg. of Prevacid twice a day for five days, I developed a
headache in the temple area extending back over the ear. Waiting a week, I tried it again
but developed the same headache on the fifth day again. What is the technical explanation
for these type headaches? Is it advisable not to take Prevacid? If the headaches are not
injurious, could I take Prevacid with a pain killer?
Answer: I haven't had any patients with this symptom complex and offhand I don't
know of any connection. The PDR does not list it as a side effect, but if this occurs with
you then it is. Try Prilosec. It's similar, but structurally different. Also, there would
be no reason not to take some analgesia with the medication. I'd prefer to avoid aspirin
and NSAIDS to decrease the inflammation of your stomach that prevacid is to treat.
Prevacid and H. Pylori
Question: I was diagnosed having H. Pylori. I took the antibiotic, and was also
prescribed Prevacid. I feel great when I take the prevacid, (I take one 30 mg tab each
day) and it knocks out my stomach pain. However, as soon as 24 hours rolls around, the
pain comes back. Is Prevacid safe to take for long periods of time? If not, what should my
next move be?
Answer: It seems to be safe, but it has only been around for a couple of years.
Has the infection been eradicated? This is very tough to do in some patients. Usually, I
prescribe 3 or 4 antibiotics plus pepto bismol plus prevacid to increase the
"cure" rate. Ensure that the bacteria is gone.
Prevacid and Ticlid
Question: Diagnosed from EGD - Small intestine mild acute and chronic inflammation.
Stomach-chronic gastritis without activity. Prescribed Prevacid. Also diagnosed TIA and
some stroke risk. Using Calan SR to control hypertension for a number of years. Under
Doctors care but have some questions about drug therapies. Can I used both drugs together
safely? How long should I use Prevacid and how do I know if it is working? I am a 67 year
Answer: There shouldn't be any interaction that I am aware of . Prevacid is
usually used for a maximum of 2-3 months although with continued experience 6-8 months
durations are sometimes used. You will know if it is working if your symptoms of acidity,
pain, gastritis are reduced.
Prevacid for Gas
Question: I was told to swallow one Prevacid tablet per day to cure Gas
problem(Bulging). I have already taken 55 tablets in 65 days. But still I am suffering
with Bulging. I have undergone upper endoscopy test. It seems there is no infection or no
ulcer, nothing. Every thing seems to be good. Since every thing is good, why do I have
this gas problem? According to my self study, I think, I am getting gas due to anxiety? Is
it correct? If I don't take prevacid one day, that day I get heart burn in the night. So
how long I should take this tablet? Please give some details about Gas and cure.
Answer: Prevacid is very good as decreasing acid and heartburn. Less good at
decreasing gas. We aren't really sure why people get gas. It is clear that some patients
swallow air(especially with chronic anxiety). Dairy products and high fiber products will
also occasionally produce this problem. I'd keep on the prevacid for the acid; but, I
suspect your gas will continue. Has your gall bladder been evaluated?
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