Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 11: What Is The Optimal Use Of Over-The-Counter Antacids And H2 Receptor Antagonists In The Management Of Reflux Patients? (continued)

Antacids are the most widely used agents for treating GERD because patients with mild heartburn often self-medicate with these over-the-counter drugs and never seek treatment for their reflux symptoms. Available in liquid and tablet forms, antacids are used as needed. Some patients use antacids to supplement other anti-GERD therapies. In clinical practice, antacids help to control mild-to-moderate reflux symptoms in a large proportion of patients. Because they act locally, antacids are considered first-line therapy for pregnant women who experience heartburn. However, magnesium-containing…