Avoid consistently doubling your Nexium OTC dose. Long-term use of PPIs like Nexium, even at the recommended dose, increases your risk of bone fractures, Clostridium difficile infection, and vitamin B12 deficiency. Doubling the dose significantly amplifies these risks.
Addressing Underlying Issues
Instead of increasing your Nexium dose, focus on identifying and treating the root cause of your heartburn. Regularly consuming trigger foods (such as spicy dishes, caffeine, alcohol, and fatty foods) worsens symptoms. Consider keeping a food diary to pinpoint these culprits. Weight management, if needed, also plays a vital role in reducing heartburn.
Lifestyle Changes and Alternative Treatments
Lifestyle modifications offer effective, non-pharmaceutical solutions. Elevate the head of your bed by six to eight inches to improve acid reflux. Eat smaller, more frequent meals, avoiding large meals before bedtime. Quit smoking; smoking irritates the esophagus. Consider over-the-counter antacids for occasional heartburn relief, but do not use them as a primary treatment.
Consult a Healthcare Professional
Persistent or severe heartburn requires medical attention. A doctor can properly diagnose the cause of your heartburn and recommend appropriate treatment, which may include prescription-strength medications or other therapies. They can also help you manage potential risks associated with long-term PPI use.
Prescription Options
If over-the-counter remedies prove insufficient, your doctor might prescribe stronger PPIs, H2 blockers, or other medications to control your acid reflux more effectively. They will assess your individual needs and create a tailored treatment plan.
