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These medications are considered safe and are well tolerated by most.12(2):103-109.[24] The use of cimetidine with fluoxetine presents the risk of parkinsonism. magnesium. 30 minutes prior to a meal to work correctly. Sixty percent of people use nonprescription medications to treat their symptoms instead of visiting their physician. or simethicone have been used for many years. and the risk for developing gastroesophageal reflux disease (GERD) increases with age. Adverse effects to be aware of include diarrhea with the use of magnesium-containing agents. and milk-alkali syndrome with the overuse of calcium carbonate agents. Symptomatic relief cannot be expected until multiple dosages have been taken as these have the slowest onset of action and the longest duration.[23] There are three types of OTC medications for the treatment of dyspepsia or heartburn: antacids. 2009. See Table 4 for drug interactions.Search News & Perspective Go News & Perspective › Multispecialty Geriatrics & Aging Educating the Older Adult in Over-the-Counter Medication Use Disclosures Geriatrics and Aging. antacids can interfere with the absorption of certain medications (see Table 4). They neutralize gastric acid and have a fast and brief onset of action. and proton pump inhibitors (PPIs) (see Table 4). Many PPIs have recently been switched to OTC. H2RAs have a slower onset of action and a longer duration than antacids. Over-the-counter antacids made of alumina. they may mask symptoms of more serious underlying problems such as Barrett's syndrome or esophageal adenocarcinoma. People should know that treatment of dyspepsia and heartburn could potentially mask an underlying illness. MD DYSPEPSIA AND HEARTBURN MEDICATIONS Heartburn is a common symptom experienced by older adults. People who are at risk for kidney stones should be cautious of calcium overload. Also. Lydia Rolita. All chronic symptoms of GERD or heartburn should be addressed by a health care professional. Cimetidine has been reported to cause acute liver disease. Proton pump inhibitors have the same drug interactions as H2RAs and are generally well tolerated with few side effects. There is a higher rate . They must be taken on an empty stomach. histamine2 receptor antagonists (H2RAs). calcium carbonate. Judith Glaser. however. Severe side effects are rare. DO. constipation with the use of aluminumcontaining agents.

of GERD complications among the older adult. thus. Ltd. T Too ccoom mm meenntt pplleeaassee LLoogg--iinn.. more . Not Salt. This website also contains material copyrighted by 3rd parties. 2009. © 2009 1453987 Ontario. Copyright © 1994-2015 by WebMD LLC. Fail to Stem Critics Sugar. See our Terms of Use.[1] Previous Page 4 of 8 Next Page Comment C Coom mm meennttiinngg iiss lliim miitteedd ttoo m meeddiiccaall pprrooffeessssiioonnaallss. Commenting is moderated..12(2):103-109. May Be at Fault for Hypertension ABIM Budges on Maintenance of Certification Program The State of Senior Health: It Depends on Your State Low-Value Services Given to Many Medicare Patients Geriatrics and Aging. an appropriate evaluation is warranted. About Medscape Privacy Policy Terms of Use WebMD Medscape France Medscape Deutschland MedicineNet eMedicineHealth RxList WebMD Corporate Help All material on this website is protected by copyright. Latest in Internal Medicine 2015 MOC Standards Reflect Feedback.