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Author update
jmc

2006-06-04, 8:26 am

Thought I'd give a quick update,since things are going better, oddly...

Short history: diagnosed with reflux (chest pain), been taking
lansoprazole 150mg for ages. Stopped working, as evidenced by sore
throat, bad cough, reflux "all the way". Switched to Nexium 40mg. This
helped. Fast forward a bit - the UK dr didn't give me enough of a
prescription for my current situation- between overseas tours - so I
started taking the lansoprazole one day and then Nexium the next, to
stretch things out... which worked, sort of.

Went to a Dr, gave me a scrip for Nexium. Insurance refused to fill it!
I had no idea the med was so darned expensive! The pharmacist
suggested I try Prilosec before trying to fight with the insurance company.

I did, and it works - at half the Nexium dosage! I don't quite
understand this, because as the pharm explained, they're very close -
omeprazole just missing the em that Nexium has (right?)

My only theory is that I'm finally past that flare up, as I'm vegetating
at the parent's for a month (less stress). We'll see what happens when
we get to Part II of the Great Move

This is great. Cheaper, smaller dosage, and works better! I just hope
that the same med is available in Australia...

It's been very quiet in here lately.

jmc
Pete

2006-06-04, 8:26 am

jmc wrote:
> Thought I'd give a quick update,since things are going better,
> oddly...
> Short history: diagnosed with reflux (chest pain), been taking
> lansoprazole 150mg for ages.


Jean...I think you mean 15 mg (not 150) :-) .

Stopped working, as evidenced by sore
> throat, bad cough, reflux "all the way". Switched to Nexium 40mg. This
> helped. Fast forward a bit - the UK dr didn't give me enough of
> a prescription for my current situation- between overseas tours - so I
> started taking the lansoprazole one day and then Nexium the next, to
> stretch things out... which worked, sort of.
>
> Went to a Dr, gave me a scrip for Nexium. Insurance refused to fill
> it! I had no idea the med was so darned expensive! The pharmacist
> suggested I try Prilosec before trying to fight with the insurance
> company.
> I did, and it works - at half the Nexium dosage! I don't quite
> understand this, because as the pharm explained, they're very close -
> omeprazole just missing the em that Nexium has (right?)


Don't follow you here Jean. Omeprazole is the generic name for prilosec.
Esomeprazole is the generic name for Nexium. And like I told you all long
ago (recognizing no one would care), Nexium is the left side of the optical
isomer for prilosec, and they are both made by the same pharma
(AstraZeneca) - excluding the OTC brand of prilosec of course (which is 20
mg).

Have a nice day :-) ...Pete

>
> My only theory is that I'm finally past that flare up, as I'm
> vegetating at the parent's for a month (less stress). We'll see what
> happens when we get to Part II of the Great Move
>
> This is great. Cheaper, smaller dosage, and works better! I just
> hope that the same med is available in Australia...
>
> It's been very quiet in here lately.
>
> jmc



jmc

2006-06-04, 8:26 am

Suddenly, without warning, Pete exclaimed (5/21/2006 2:05 PM):
> jmc wrote:
>
> Jean...I think you mean 15 mg (not 150) :-) .
>

Who's Jean? I'm Jodi

And, no I meant 150mg. Tho I might have the med spelled wrong. Zantac,
essentially.

> Stopped working, as evidenced by sore
>
> Don't follow you here Jean. Omeprazole is the generic name for prilosec.
> Esomeprazole is the generic name for Nexium. And like I told you all long
> ago (recognizing no one would care), Nexium is the left side of the optical
> isomer for prilosec, and they are both made by the same pharma
> (AstraZeneca) - excluding the OTC brand of prilosec of course (which is 20
> mg).
>
> Have a nice day :-) ...Pete


Sorry, what do you not follow? They're close enough that I'd expect to
have to use the same dosage as Nexium, and I'm not needing it. Not that
I'm complaining!

Not that I have a clue what "optical isomer" is... I just badly
paraphrased what the pharmacist said, when I wasn't fully listening (my
bad). In actuality, I think he said something similar to what you just
said.

jmc

>
>
>

Howard McCollister

2006-06-04, 8:26 am


"jmc" <NOnewsgroupsSPAM@NOjodiBODY.HOMEus> wrote in message
news:4dc4bbF18jmgcU1@individual.net...
> Suddenly, without warning, Pete exclaimed (5/21/2006 2:05 PM):
> Who's Jean? I'm Jodi
>
> And, no I meant 150mg. Tho I might have the med spelled wrong. Zantac,
> essentially.
>


Lansoprazole is Prevacid, and the typical dose is 30 mg. Zantac is
ranitidine, the typical dose is 150 mg twice a day. Lansoprazole,
omeprazole, esomeprazole are all part of the same class of drugs (proton
pump inhibitors), and all very expensive. They are all unrelated to Zantac,
which is a different class of drug altogether. It is much cheaper, a part of
a drug class that is not nearly so effective at controlling acid secretion
as the proton pump inhibitors. One reason it's cheaper, I suppose.

HMc



jmc

2006-06-04, 8:26 am

Suddenly, without warning, Howard McCollister exclaimed (5/21/2006 7:35 PM):
> "jmc" <NOnewsgroupsSPAM@NOjodiBODY.HOMEus> wrote in message
> news:4dc4bbF18jmgcU1@individual.net...
>
> Lansoprazole is Prevacid, and the typical dose is 30 mg. Zantac is
> ranitidine, the typical dose is 150 mg twice a day. Lansoprazole,
> omeprazole, esomeprazole are all part of the same class of drugs (proton
> pump inhibitors), and all very expensive. They are all unrelated to Zantac,
> which is a different class of drug altogether. It is much cheaper, a part of
> a drug class that is not nearly so effective at controlling acid secretion
> as the proton pump inhibitors. One reason it's cheaper, I suppose.
>
> HMc
>
>
>

You are right, of course. But really, I was on a 150mg daily of
lansoprazole (I was on 50mg before but it wasn't effective). This is UK
medicine, dosages were different. I was getting a generic, and haven't
been back in the US long enough to associate the UK generics with the US
name brands.

Are there bad longterm effects for such an apparently high dosage of
lansoprazole?

jmc
Howard McCollister

2006-06-04, 8:26 am


"jmc" <NOnewsgroupsSPAM@NOjodiBODY.HOMEus> wrote in message
news:4dcg9fF19c8hhU1@individual.net...
> Suddenly, without warning, Howard McCollister exclaimed (5/21/2006 7:35
> PM):
> You are right, of course. But really, I was on a 150mg daily of
> lansoprazole (I was on 50mg before but it wasn't effective). This is UK
> medicine, dosages were different. I was getting a generic, and haven't
> been back in the US long enough to associate the UK generics with the US
> name brands.
>
> Are there bad longterm effects for such an apparently high dosage of
> lansoprazole?
>



Doesn't add up. Lansoprazole doses are all the same, UK or USA, generic or
name brand. In the UK, the name brand is Zoton, in the US, it's Prevacid.
Dosing is the same - 15-30 mg and lansoprazole, generic or name brand
world-wide, only come in those sizes. So, you were taking 5 generic
lansoprazole capsules twice a day ? Really, that's the only way you could
get 300 mg per day into your body.

I don't think you were taking lansoprazole, I think you were taking Zantac.


jmc

2006-06-04, 8:26 am

Suddenly, without warning, Howard McCollister exclaimed (5/21/2006 10:39
PM):
> "jmc" <NOnewsgroupsSPAM@NOjodiBODY.HOMEus> wrote in message
> news:4dcg9fF19c8hhU1@individual.net...
>
>
> Doesn't add up. Lansoprazole doses are all the same, UK or USA, generic or
> name brand. In the UK, the name brand is Zoton, in the US, it's Prevacid.
> Dosing is the same - 15-30 mg and lansoprazole, generic or name brand
> world-wide, only come in those sizes. So, you were taking 5 generic
> lansoprazole capsules twice a day ? Really, that's the only way you could
> get 300 mg per day into your body.
>
> I don't think you were taking lansoprazole, I think you were taking Zantac.
>
>

You are right. I did find a lansoprazole pkg, it is indeed 30mg. Sorry
'bout that. I'm likely losing my mind: In between overseas tours, I'm
spending over a month here in the US at the parent's house. Never
again! Way too long! Fortunately hubby joins me in a few days, else I
might just need to be committed

Anyway, I'm still happy that the otc med is working just as well as the
prescription

now, is there a medication to treat parent-induced psychosis ??

jmc
Laura

2006-06-04, 8:26 am

LOL--I might need some of that medicine myself. We've sold our house
too soon and are moving in with my parents for 3 months.

I'm so glad to hear the Nexium is working for you. I have been doing
pretty well on it until a few days ago when the chest pain returned a
bit, but I wouldn't doubt it's due to the stress of moving. I have an
actual appointment (finally) with the GI doctor tomorrow.

Take care,
Laura

jmc

2006-06-04, 8:26 am

Suddenly, without warning, Laura exclaimed (5/22/2006 11:51 AM):
> LOL--I might need some of that medicine myself. We've sold our house
> too soon and are moving in with my parents for 3 months.
>
> I'm so glad to hear the Nexium is working for you. I have been doing
> pretty well on it until a few days ago when the chest pain returned a
> bit, but I wouldn't doubt it's due to the stress of moving. I have an
> actual appointment (finally) with the GI doctor tomorrow.
>
> Take care,
> Laura
>


It's Prilosec that's actually working. And yes, I do think stress is a
big factor - I was having problems that even the Nexium 40mg wasn't
completely solving - but now that I'm (mostly) past the worse of it,
half the dosage of Prilosec is working.

Good luck with your move. The way to survive living with the parents
over a period of time: Spend as little time at the house as possible

Here, since I don't have a car, it's long walks. Just got back from a
nice 3 mile wander

jmc
Pete

2006-06-04, 8:26 am

Howard McCollister wrote:
> "jmc" <NOnewsgroupsSPAM@NOjodiBODY.HOMEus> wrote in message
> news:4dcg9fF19c8hhU1@individual.net...
>
>
> Doesn't add up. Lansoprazole doses are all the same, UK or USA,
> generic or name brand. In the UK, the name brand is Zoton, in the US,
> it's Prevacid. Dosing is the same - 15-30 mg and lansoprazole,
> generic or name brand world-wide, only come in those sizes. So, you
> were taking 5 generic lansoprazole capsules twice a day ? Really,
> that's the only way you could get 300 mg per day into your body.
>
> I don't think you were taking lansoprazole, I think you were taking
> Zantac.


Howard...I give up. I explained all this stuff months ago to the ng in
great detail (all about the PPI's versus the H2 blockers, da da da da). I'm
sure you remember. I never cease to be amazed by all the people who take
drugs, and don't even know what they are taking. Oh well. :-) .


jmc

2006-06-04, 8:26 am

Suddenly, without warning, Pete exclaimed (5/22/2006 3:29 PM):
> Howard McCollister wrote:
>
> Howard...I give up. I explained all this stuff months ago to the ng in
> great detail (all about the PPI's versus the H2 blockers, da da da da). I'm
> sure you remember. I never cease to be amazed by all the people who take
> drugs, and don't even know what they are taking. Oh well. :-) .
>
>

Pete:

read my to Howard's post. I admitted I got it wrong, and blame
parent-induced psychosis

I do remember some of those posts, but we've been playing Musical Chairs
with more than just my reflux meds. Try this and then tell me your state
of mind: Spend some time living in a foreign country. Go back to the
US and live with your in-laws and then parents for a total of 6 weeks,
while trying to manage all the logistical fun of going from one foreign
country to the next. Try to keep up with all of your NGs while
traveling like this.

Likely, this stress is what caused my reflux flare-up in the first
place. Fortunately, it seems to have settled now, as is evidenced by
the 20mg Prilosec working perfectly for me now.

I can research things when I need to. I hope you don't really expect me
to remember every, single post I read on this ng. I do have more of a
life than that

This is a useful ng, please don't chase me away simply because my
memory, like my BP and my digestive system, is getting older...

jmc
Laura

2006-06-04, 8:26 am

Jodi--Definitely don't go away. We seem to have the same symptoms
(ah, that chest pain) and the same struggles trying to find the right
med and treatment and stress triggers! It helps me to read your posts.
Even if we don't always get the details right, just commisserating
really can help.

Thank you!
Laura

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