Lifestyle changes will include:
Review concurrent drug therapy and try to avoid the following:
Consider need for urgent gastrointestinal endoscopy if:
*DO NOT prescribe a PPI in patients with alarm symptoms before endoscopy as PPIs may mask symptoms of upper GI malignancy.
Co-magaldrox (Mucogel®) oral 10–20ml after meals and at bedtime, or when required
Peptac® oral 10–20ml after meals and at bedtime.
N.B. Avoid in cardiac failure, renal disease and hepatic disease.
Omeprazole oral treatment dose 40mg once daily for 4–8 weeks, then maintenance dose 20mg once daily
Lansoprazole oral treatment dose 30mg once daily for 4–8 weeks, then maintenance dose 15mg once daily.
Aim for lowest dose proton pump inhibitor (PPI) needed to control symptoms (N.B. This could be 'on demand' PPI treatment for mild or intermittent symptoms).
Try higher dose PPI and seek specialist advice.
Guideline reviewed: May 2023
Page last updated: August 2023