Many patients develop an upset stomach during therapy. If they gave symptoms of gastroesophageal reflux (GERD), symptoms may get worse. Typically, over the counter agents work, such as Zantac or Pepcid-AC. Maalox or Mylanta may also alleviate symptoms. Prescription strength medications such as Nexium, Protonix, or Acifex may be needed. Avoid going to bed with a full stomach, and I recommend at least 4 hours after your last meal before going to bed.
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