Protonix vs. pepcid?

Hey there - question I'm hoping someone can answer:

Is there a major health reason to take a prescription acid reducer if the over-the-counter is working fine?

I've been taking protonix since surgery  and have had no acid problems.  I've been afraid to go off of it because I did have some acid issues (that I was mostly unaware of) before surgery.  My prescription ran out about a week ago and I haven't been able to pick it up yet.  I had one night where I was woken up during the night due to acid (since being off the protonix) and I took tums which helped some.  Since then I've been taking a pepcid before bed and it seems to be working just as well as the protonix.  Just wondering if there's any good reason to go back on the protonix?

Thanks!!

If it works and is cheaper or easier to get your hands on - then go for it.

I've been taking protonix for years and the GI doc said that is it very good because it protects your esophogus from any damage due to acid reflux but if you don't have it that bad then it might not be a problem to switch.

Yeah - that's a good point.  My husband read a study that said long term usage of protonix can cause liver issues - I just wanted to make sure there wasn't something I was missing with long term use of pepcid.....It doesn't sound like it though.

Thanks for the input!  very helpful

One important thing to note is that the mechanisms of action with Protonix and Pepcid are entirely different.  Protonix is a proton pump inhibitor whereas Pepcid is an H2 blocker.  If you're going to do an OTC med, you can certainly try the Pepcid (or Zantac...it's been shown to heal ulcers overnight when given intravenously.  My doc recommended 150mg 1x in the AM, 1x before bed.)  However, if you notice your symptoms aren't as well controlled, you may consider opting for Prevacid which is another proton pump inhibitor, but is available OTC.

Prevacid is OTC now?  I had no idea.  Thanks!!

So far the pepcid is working well - again - it's not a HUGe issue for me but no problems at all when i take one pepcid at night.