Who has not one day been confronted with burning sensations in the pit of their stomach? Whether occasional or frequent, these symptoms are fortunately mostly mild and can be relieved by a self-medication. However, a medical consultation is recommended to verify the absence of complications or to rule out a more serious pathology such as an ulcer. It is the same in case of difficulty in swallowing, associated cough or weight loss.
Which medicine to choose for heartburn?
For occasional heartburn
We are looking for quick action. An “antacid” based on aluminum, magnesium, calcium or sodium salts, which reduce the acidity of the gastric contents, is then suitable. It works quickly but not for long, usually 1 to 2 hours. We take them as soon as we have pain or in prevention, just before a too large meal. These drugs are well tolerated, but transit disorders are possible, especially at high doses (more than 6 times per day). Those that provide sodium should be avoided in cases of heart failure or high blood pressure.
In the event of annoying acid reflux
This is to protect the lining of the esophagus. The most widely used compound isalginate : it forms a viscous gel around the gastric contents and thus isolates the esophageal mucosa from reflux acidity. Well tolerated, it is commonly prescribed for pregnant women. More recently, a gel based on hyaluronic acid has proven itself: protective and healing, it reduces symptoms of gastroesophageal reflux disease. These compounds have a fast but rather short action (2 to 4 hours). They are taken after a meal for optimal effectiveness and if necessary, before bedtime.
In case of frequent symptoms (more than once a week)
A medicine that decreases acid secretion in the stomach called “Proton pump inhibitor” (PPI), is the treatment of choice. Powerful and prolonged action, it requires only one daily intake. These treatments can, in the long term, lead to a decrease in the absorption of magnesium, especially if they are combined with diuretic drugs. Other side effects are described: increased risk of stroke, gastric cancer, osteoporosis, renal, cardiovascular and pulmonary complications, justifying their prolonged use only on medical advice.
In self-medication, we do not exceed 3 to 4 weeks of treatment. For optimal action, it is taken before a meal, that of the evening if the symptoms predominate at night. Allow 2 to 3 days for it to be fully effective. In the meantime, it is possible to combine it with the drugs described above. Corn if the symptoms are not relieved over time, it is better to inform your doctor. Additional examinations may be necessary.
Spearmint Rennie Sugar Free
How much does it cost ? Between € 8 and € 9 for 96 chewable tablets, mint flavor without sugar. Bayer Laboratory. How does it work? This well-known drug contains calcium carbonate and magnesium carbonate, the onset of which is rapid: approximately 30 minutes. An economical format in chewable tablets, easy to take and use. Who is he talking to ? From 15 years old, for relieve occasional heartburn. Our advice for use: start by taking one tablet and then, if necessary, increase to 2 tablets per dose. Be careful, however, from 6 per day, they can lead to diarrhea!
Neutricid oral suspension in sachets
How much does it cost ? € 7 for the box of 18 mint flavored sachets without sugar. Grimberg Laboratory. How does it work? Contains 3 antacid salts (aluminum oxide and phosphate, magnesium hydroxide) and guar gum. This, in addition to being itself antacid, increases the viscosity of the solution which prolongs the effect of the drug by a few hours. Who is he talking to ? From 15 years old to relieve occasional heartburn, whether or not associated with acid reflux. Our advice for use: a little more expensive than a classic antacid but allows to reduce the number of daily intakes: 4 sachets per day at most against 8 to 12 for some antacids.
Gaviscon oral suspension sachets
How much does it cost ? € 3.04 per box of 24 mint flavored sachets, sugar-free. Reckitt Benckiser Laboratory. How does it work? Reimbursed on medical prescription, it is very often used to relieve symptoms of gastroesophageal reflux disease. Contains antacid potassium bicarbonate, and sodium alginate which protects the mucous membrane and limits reflux. 145 mg of sodium per sachet. Who is he talking to ? From 12 years old, to relieve occasional acid reflux. Can be used during pregnancy. In drinkable bottle for children. Our advice for use: it is also available in a chewable form, which is convenient, but which acts a little slower because the tablet must first dissolve in the stomach. The action of the gel is more immediate.
How much does it cost ? Between 10 and 11 € for 20 sachets with red fruit aroma. Alfasigma Laboratory. How does it work? This gel sticks to the lining of the esophagus, protecting it from contact with the acidic contents. It containshyaluronic acid, healing, and chondroitin sulfate, naturally present in the body and which has anti-inflammatory properties. Who is he talking to ? In adults, to limit regurgitation, irritating cough, or to reinforce the effectiveness of a proton pump inhibitor. Our advice for use: In order for the product to adhere to the mucosa and be effective as long as possible, it is recommended that you do not eat or drink anything within 2 hours of taking it.
Ipraalox 20 mg
How much does it cost ? € 7 for a box of 14 gastro-resistant tablets (available in a box of 7). Sanofi laboratory. How does it work? This drug from the family of proton pump inhibitors (PPIs) contains pantoprazole, the equivalent of the prescription drugs Inipomp or Eupantol. Pantoprazole is one of the first PPIs to be marketed, resulting in a long decline in use. Who is he talking to ? From the age of 18, to limit heartburn and / or frequent acid regurgitation, which occurs more than once a week. Our advice for use: the tablets should not be chewed or crushed, they would no longer be effective. But since they are relatively small, they are rather easy to swallow.
MopralPro 20 mg
How much does it cost ? € 10.80 for a box of 14 gastro-resistant tablets (available in a box of 7). Bayer Laboratory. How does it work? It’s a proton pump inhibitor. The active molecule, omeprazole, is very often prescribed by doctors. It is also used in children from one year old, on medical prescription. Who is he talking to ? From the age of 18, to limit stomach pain and acid reflux that occurs more than once a week. Can be used during pregnancy. Our advice for use: the tablets are a bit big. If you have trouble swallowing them, you can disperse the microgranules they contain in a little non-carbonated water, fruit juice or a compote. Above all, do not overwrite them.