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Pharmacy and Medications

Hiatal Hernia/Gerd and Anti-Inflammatory

01/06/2011

Question:

I have a small hiatal hernia with associated GERD. I take Prilosec for the GERD and have no symptoms. Is it okay to take anti-inflammatory medicines such as Advil for things like headaches, sore foot, etc? If so, how much is too much?

Answer:

Yes, you can take anti-inflammatory medications like over-the-counter (OTC) ibuprofen (Advil, others), naproxen sodium (Aleve, others), or ketoprofen (Orudis, others) for minor aches and pains as described. Acetaminophen (Tylenol, others) could also work for you and is typically less likely to cause stomach irritation. Acetaminophen may be a better choice for patients with underlying stomach conditions.

OTC medicines must contain approved dosing information on their label. Follow the dose instructions provided. Use the lowest possible dose for the shortest period of time. If the doses listed on the label do not relieve your pain, it would be most appropriate to see your doctor for evaluation and treatment. Your physician or a pharmacist who knows you may provide additional information.

This response was prepared by Sara Rotman, a PharmD candidate at the University of Cincinnati College of Pharmacy.

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Response by:

Robert James Goetz, PharmD, DABAT
Assistant Professor of Pharmacy Practice
College of Medicine
University of Cincinnati