Indigestion, heart burn, and reflux are very common stomach conditions that can cause frequent irritating symptoms for many individuals. Gastroesophageal reflux disease (GERD) is a more severe form of acid reflux where the stomach contents flowing back up into the esophagus becomes problematic, can cause permanent injury, and affect a person’s quality of life.

Before starting treatment for any stomach condition, it’s important to speak with a health care provider to confirm a diagnosis and prevent future complications.

How can I treat GERD?

Once a diagnosis is confirmed, treatment should include a combination of non-drug interventions and over-the-counter products or prescription medication.

Some lifestyle changes that can help relieve symptoms:

• Avoiding irritating foods, such as spicy or high fat meals
• Not eating large meals or snacks late at night
• Reducing your intake of caffeine and/or alcohol
• Waiting at least one hour after eating before lying down to rest
• Elevating your head when lying down to sleep

Your health care provider or pharmacist may recommend a prescription drug treatment depending on your symptoms and medical history. Some over-the-counter products may cause drug interactions so it’s important to consult with your pharmacist before trying any new medication or supplement.

Common GERD treatments include using proton pump inhibitors (PPI’s) such as Nexium, Pantoloc, and Prevacid. PPIs are all considered equally effective, although dosing may vary between products.

Starting a proton pump inhibitor (PPI) treatment

For most individuals diagnosed with GERD, PPIs are only recommended for four-to-six weeks, when symptoms typically start to improve, allowing the esophagus to heal. The longer-term use of PPIs (greater than eight weeks) is uncommon and may lead to long-term complications, such as bone fractures, Clostridium difficile (C. diff) infection, and community-acquired pneumonia. Any further long-term uses are only recommended for advanced cases of GERD or for individuals with other specific diagnoses.

Does my ASEBP benefit plan cover PPIs?

Yes, but please note these drugs fall under ASEBP’s Therapeutic Alternative Reference-Based Pricing (TARP) program, which means the plan only covers the lowest-cost generic option within the same therapeutic class. While generics may look different than brand-name drugs, they work the same in the body and help maintain premium rate costs for members. If you have questions about your coverage or could benefit from help with TARP product selection, contact an ASEBP benefit specialist.

Should I stop using my PPI medication?

Depending on your medical history, you may be able to reduce, modify, or stop your use of PPIs under the supervision of your pharmacist or other health care provider. Speak with a trusted practitioner who knows your health and medication history for advice. You can also find helpful advice in the following guides: 

• When to Reduce or Stop PPIs and How? 
• Stopping Your PPI Medication 

The information provided in this article is for personal use, reference, and education only. ASEBP does not provide medical advice. Before starting any medication or product, you should always consult with your pharmacist, health care provider, or call Alberta Health Link at 811.