Prescription onlyLower-cost generic availableClass: Gastrointestinal

Protonix Alternatives

(Pantoprazole)

Prescription onlyLower-cost generic availableClass: Gastrointestinal
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Compare Protonix (Pantoprazole) to alternatives

These medications are comparable to Protonix (Pantoprazole) or used for similar purposes.

Protonix
(Pantoprazole)

Nexium
(Esomeprazole)

Alka-Seltzer Original
(Aspirin / Citric Acid / Sodium Bicarbonate)

Pepcid
(Famotidine)

Zegerid
(Omeprazole / Sodium Bicarbonate)

Rolaids
(Calcium Carbonate / Magnesium Hydroxide)

Prilosec
(Omeprazole)

Tums
(Calcium Carbonate)

Maalox
(Aluminum / Magnesium / Simethicone)

Zantac 75
(Ranitidine)

Tagamet
(Cimetidine)

Treats heartburn and stomach ulcers. Protonix (Pantoprazole) gives you long-lasting heartburn relief. Choose the cheapest proton pump inhibitor because they all work equally well for heartburn.Treats heartburn and stomach ulcers. Nexium (Esomeprazole) gives you long-lasting heartburn relief. But this purple pill ain't cheap! The generic forms of alternative drugs work just as well, and are usually less expensive.Relieves heartburn, headache, and body pains. Alka-Seltzer Original (Aspirin / Citric Acid / Sodium Bicarbonate) gives quick relief for headache, body pains, and upset tummies, but might be hard to swallow if you don't like the taste or fizz.Relieves heartburn. Pepcid (Famotidine) works well for heartburn but may not last as long or start working as quickly as other antacids.Relieves heartburn, ulcers, and acid tummy. Zegerid (Omeprazole / Sodium Bicarbonate) gives you long-lasting heartburn relief. Choose the cheapest proton pump inhibitor because they all work equally well for heartburn.Relieves heartburn and acid tummy. Rolaids (Calcium Carbonate / Magnesium Hydroxide) gives quick relief for heartburn, but don't expect it to last all day.Treats heartburn and stomach ulcers. Prilosec (Omeprazole) gives you long-lasting heartburn relief. Choose the cheapest proton pump inhibitor because they all work equally well for heartburn.Relieves heartburn. Tums (Calcium Carbonate) gives quick relief for heartburn, but don't expect it to last all day.Relieves heartburn and acid tummy. Maalox (Aluminum / Magnesium / Simethicone) gives quick relief for heartburn, gas, and bloating. It may not be as effective or last as long as alternative antacids though.Relieves heartburn. Zantac 75 (Ranitidine) works well for heartburn but may not last as long or start working as quickly as other antacids.Relieves heartburn and acid tummy. Tagamet (Cimetidine) works well for heartburn but may not last as long or start working as quickly as other antacids.
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Reviews & ratings
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5.14Pantoprazole
Reviews for Protonix (Pantoprazole)
68%
of people (All ages) say Protonix (Pantoprazole) is worth it
51%
say it works well
13%
say it's a big hassle
584 reviews
Have you used Protonix (Pantoprazole)?
Worth itNot sureNot worth it
Reviews for Nexium (Esomeprazole)
75%
+7% better vs. Protonix (Pantoprazole)
59%
+8% better vs. Protonix (Pantoprazole)
11%
+2% better vs. Protonix (Pantoprazole)
1239 reviews
Have you used Nexium (Esomeprazole)?
Worth itNot sureNot worth it
Reviews for Alka-Seltzer Original (Aspirin / Citric Acid / Sodium Bicarbonate)
81%
+13% better vs. Protonix (Pantoprazole)
52%
+1% better vs. Protonix (Pantoprazole)
8%
+5% better vs. Protonix (Pantoprazole)
1055 reviews
Have you used Alka-Seltzer Original (Aspirin / Citric Acid / Sodium Bicarbonate)?
Worth itNot sureNot worth it
Reviews for Pepcid (Famotidine)
75%
+7% better vs. Protonix (Pantoprazole)
41%
-10% worse vs. Protonix (Pantoprazole)
8%
+5% better vs. Protonix (Pantoprazole)
853 reviews
Have you used Pepcid (Famotidine)?
Worth itNot sureNot worth it
Reviews for Zegerid (Omeprazole / Sodium Bicarbonate)
72%
+4% better vs. Protonix (Pantoprazole)
55%
+4% better vs. Protonix (Pantoprazole)
12%
+1% better vs. Protonix (Pantoprazole)
Have you used Zegerid (Omeprazole / Sodium Bicarbonate)?
Worth itNot sureNot worth it
Reviews for Rolaids (Calcium Carbonate / Magnesium Hydroxide)
75%
+7% better vs. Protonix (Pantoprazole)
37%
-14% worse vs. Protonix (Pantoprazole)
7%
+6% better vs. Protonix (Pantoprazole)
1089 reviews
Have you used Rolaids (Calcium Carbonate / Magnesium Hydroxide)?
Worth itNot sureNot worth it
Reviews for Prilosec (Omeprazole)
80%
+12% better vs. Protonix (Pantoprazole)
59%
+8% better vs. Protonix (Pantoprazole)
8%
+5% better vs. Protonix (Pantoprazole)
1167 reviews
Have you used Prilosec (Omeprazole)?
Worth itNot sureNot worth it
Reviews for Tums (Calcium Carbonate)
82%
+14% better vs. Protonix (Pantoprazole)
43%
-8% worse vs. Protonix (Pantoprazole)
5%
+8% better vs. Protonix (Pantoprazole)
1373 reviews
Have you used Tums (Calcium Carbonate)?
Worth itNot sureNot worth it
Reviews for Maalox (Aluminum / Magnesium / Simethicone)
69%
+1% better vs. Protonix (Pantoprazole)
30%
-21% worse vs. Protonix (Pantoprazole)
9%
+4% better vs. Protonix (Pantoprazole)
213 reviews
Have you used Maalox (Aluminum / Magnesium / Simethicone)?
Worth itNot sureNot worth it
Reviews for Zantac 75 (Ranitidine)
72%
+4% better vs. Protonix (Pantoprazole)
44%
-7% worse vs. Protonix (Pantoprazole)
7%
+6% better vs. Protonix (Pantoprazole)
1062 reviews
Have you used Zantac 75 (Ranitidine)?
Worth itNot sureNot worth it
Reviews for Tagamet (Cimetidine)
63%
-5% worse vs. Protonix (Pantoprazole)
36%
-15% worse vs. Protonix (Pantoprazole)
12%
+1% better vs. Protonix (Pantoprazole)
632 reviews
Have you used Tagamet (Cimetidine)?
Worth itNot sureNot worth it
Side effects
PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet

We haven’t found good data for Pantoprazole side effects.

FDA side effect reports for Pantoprazole »
  • Diarrhea 3%
  • Headache 2%
  • Drowsiness 2%
  • Change in taste 7%
  • Abdominal pain 4%
  • Nausea 2%
  • Irritability 5%
  • Vomiting 5%
More Nexium side effects »

We haven’t found good data for Alka Seltzer side effects.

FDA side effect reports for Alka Seltzer »
  • Headache 5%
  • Diarrhea 2%
More Pepcid side effects »

The Zegerid FDA package insert doesn’t have numbers about how common side effects are.

More about Zegerid side effects »

We haven’t found good data for Rolaids side effects.

FDA side effect reports for Rolaids »
  • Upper respiratory infection 75%
  • Fever 33%
  • Headache 7%
  • Abdominal pain 5%
  • Nausea 4%
  • Diarrhea 4%
  • Accidental injuries 4%
  • Passing gas 3%
  • Vomiting 3%
More Omeprazole side effects »

We haven’t found good data for Tums side effects.

FDA side effect reports for Tums »

We haven’t found good data for Maalox side effects.

FDA side effect reports for Maalox »

The Zantac FDA package insert doesn’t have numbers about how common side effects are.

More about Zantac side effects »
  • Abnormally large breasts in males 4%
  • Headache 2%
More Tagamet side effects »
How it works
PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
Protonix (Pantoprazole) is a proton pump inhibitor (PPI). It lowers the amount of acid in your stomach, treats heartburn, and heals ulcers.Nexium (Esomeprazole) is a proton pump inhibitor (PPI). It lowers the amount of acid in your stomach, treats heartburn, and heals ulcers.Alka-Seltzer Original (Aspirin / Citric Acid / Sodium Bicarbonate) is a combination medicine. Sodium bicarbonate is an antacid that relieves heartburn and acid tummy (indigestion). Aspirin is a pain reliever that treats headache and body pains.Pepcid (Famotidine) is a type of antacid called an H2 blocker. It blocks the chemical histamine, which lowers acid production in your stomach. This treats heartburn and helps ulcers heal.Zegerid (Omeprazole / Sodium Bicarbonate) is a type of antacid called a proton pump inhibitor. It blocks the release of acid in your stomach, which treats heartburn and helps ulcers heal.Rolaids (Calcium Carbonate / Magnesium Hydroxide) is an antacid. It counteracts the effects of stomach acid to relieve heartburn and acid tummy (indigestion).Prilosec (Omeprazole) is a proton pump inhibitor (PPI). It lowers the amount of acid in your stomach, treats heartburn, and heals ulcers.Tums (Calcium Carbonate) is an antacid. It counteracts the effects of stomach acid to relieve heartburn and acid tummy (indigestion).Maalox (Aluminum / Magnesium / Simethicone) is a combination medicine for stomach trouble. Aluminum and magnesium are antacids that relieve heartburn and acid tummy (indigestion). Simethicone relieves gas and bloating.Zantac 75 (Ranitidine) is an H2 blocker. It blocks the chemical histamine, which lowers acid production in your stomach. This treats heartburn and helps ulcers heal.Tagamet (Cimetidine) is a type of antacid called an H2 blocker. It blocks the chemical histamine, which lowers acid production in your stomach. This treats heartburn and helps ulcers heal.
Type of medication
PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
Prescription only
Prescription or OTC
Over-the-counter
Prescription or OTC
Prescription or OTC
Over-the-counter
Prescription or OTC
Over-the-counter
Over-the-counter
Prescription or OTC
Prescription or OTC
Available as
PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
  • Extended release
  • Extended release
  • Chewable tablet
  • Effervescent tablet
  • Pill
  • Chewable tablet
  • Liquid
  • Pill
  • Chewable tablet
  • Liquid
  • Extended release
  • Chewable tablet
  • Liquid
  • Chewable tablet
  • Liquid
  • Pill
  • Oral solution
  • Injection
  • Pill
  • Liquid
Used for
PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
Risk factors for serious side effects
PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
    • Helicobacter pylori infection
    • Autoimmune disease
    • Osteoporosis
    • Age 50 or older
    • Using high medication doses
    • Long-term therapy (1 year or more)
    • Smoking
    • Use of other medications that weaken bones
        Detailed Protonix (Pantoprazole) risks & warnings »
          • Helicobacter pylori infection
          • Autoimmune disease
          • Being hospitalized
          • Antibiotic use
          • Osteoporosis
          • Age 50 or older
          • Using high medication doses
          • Long-term therapy (1 year or more)
          • Smoking
          • Use of other medications that weaken bones
            Detailed Nexium (Esomeprazole) risks & warnings »
              • Current kidney disease
              • Kidney dialysis
              • Age 65 or older
              • Congestive heart failure (CHF)
              • High blood pressure
              • Current kidney disease
              • Kidney dialysis
              • Children 18 years or younger recovering from viral infections
              • History of stomach bleeding or ulcers
              • Age 60 or older
              • Also taking other blood thinners
              • Drinking 3 or more alcoholic drinks a day
              • Asthma
              • Rhinitis
              • Nasal Polyps
              • Aspirin Allergy
              • NSAID Allergy
                Detailed Alka-Seltzer Original (Aspirin / Citric Acid / Sodium Bicarbonate) risks & warnings »
                  • Current kidney disease
                    Detailed Pepcid (Famotidine) risks & warnings »
                      • Helicobacter pylori infection
                      • Autoimmune disease
                      • Being hospitalized
                      • Antibiotic use
                      • Osteoporosis
                      • Age 50 or older
                      • Using high medication doses
                      • Long-term therapy (1 year or more)
                      • Smoking
                      • Use of other medications that weaken bones
                        • Stroke
                        • Coronary artery stent
                        • Taking Clopidogrel
                        • Rheumatoid arthritis
                        • Psoriasis
                        • Cancer
                        • Taking methotrexate
                          Detailed Zegerid (Omeprazole / Sodium Bicarbonate) risks & warnings »
                            • Current kidney disease
                            • Kidney dialysis
                            • Hyperparathyroid disease
                            • Taking high doses of Vitamin D
                            • Previous kidney stones
                            Detailed Rolaids (Calcium Carbonate / Magnesium Hydroxide) risks & warnings »
                              • Helicobacter pylori infection
                              • Autoimmune disease
                              • Being hospitalized
                              • Antibiotic use
                              • Osteoporosis
                              • Age 50 or older
                              • Using high medication doses
                              • Long-term therapy (1 year or more)
                              • Smoking
                              • Use of other medications that weaken bones
                                Detailed Prilosec (Omeprazole) risks & warnings »
                                  • Current kidney disease
                                  • Kidney dialysis
                                  • Hyperparathyroid disease
                                  • Taking high doses of Vitamin D
                                  • Previous kidney stones
                                  Detailed Tums (Calcium Carbonate) risks & warnings »
                                  • Age 65 or older
                                    • Current kidney disease
                                      Detailed Maalox (Aluminum / Magnesium / Simethicone) risks & warnings »
                                        • Current kidney problems
                                        • Current liver problems
                                        • Acute Porphyria
                                        • History of Phenylketonuria (PKU)
                                        Detailed Zantac 75 (Ranitidine) risks & warnings »
                                          • Current kidney disease
                                          • Current liver disease
                                          • Age 50 or older
                                          • Current severe illness
                                            • Autoimmune disease
                                            • HIV or AIDS
                                            • Organ transplant
                                            • People without a spleen
                                            Detailed Tagamet (Cimetidine) risks & warnings »
                                            Pregnancy

                                            Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                            Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                            The FDA hasn’t classified this medicine’s effects on unborn babies. Talk with your doctor about this medicine if you’re pregnant or planning on it.

                                            Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                                            The FDA hasn’t classified this medicine’s effects on unborn babies. Talk with your doctor about this medicine if you’re pregnant or planning on it.

                                            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                                            The FDA hasn’t classified this medicine’s effects on unborn babies. Talk with your doctor about this medicine if you’re pregnant or planning on it.

                                            The FDA hasn’t classified this medicine’s effects on unborn babies. Talk with your doctor about this medicine if you’re pregnant or planning on it.

                                            Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                            Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                            Interactions
                                            PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
                                            • Less risk of drug interactions with Pantoprazole than with other proton pump inhibitors.
                                            • Avoid drug interactions by telling your doctor all of the other medications or herbal supplements you take before starting Pantoprazole.
                                            • Can interact with other drugs so be sure your doctor knows all the medicine you're taking before starting Nexium.
                                            • Avoid drug interactions by telling your doctor all of the other medications or herbal supplements you take before starting Nexium.
                                            No interactions related info.
                                            • Few drug interactions.
                                            • Can interact with other drugs so be sure your doctor knows all the medicine you're taking before starting Zegerid.
                                            • Avoid drug interactions by telling your doctor all of the other medications or herbal supplements you take before starting Zegerid.
                                            No interactions related info.
                                            • Can interact with other drugs so be sure your doctor knows all the medicine you're taking before starting Omeprazole.
                                            • Avoid drug interactions by telling your doctor all of the other medications or herbal supplements you take before starting Omeprazole.
                                            • You need to separate Tums from some medications to avoid interactions.
                                            No interactions related info.
                                            • Few drug interactions.
                                            • Has more drug interactions than zantac and pepcid.
                                            Food
                                            PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
                                            • Take with or without food.
                                            • Take 1 hour before a meal.
                                            • Take it with food to lower the chance of an upset stomach.
                                            No food related info.
                                            • Take 1 hour before a meal.
                                            No food related info.
                                            • Take 1 hour before a meal.
                                            No food related info.
                                            • Take 1-3 hours after a meal.
                                            No food related info.No food related info.
                                            Kidneys and liver
                                            PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
                                            No kidneys and liver related info.No kidneys and liver related info.
                                            • If you have kidney or hyperparathyroid disease Alka-Seltzer Original (Aspirin / Citric Acid / Sodium Bicarbonate) can build up in your blood. This may can cause toxic levels of sodium in your body. This is more likely if you have severe kidney disease (defined as a kidney function blood test called GFR of less than 30ml/min). If you have severe kidney disease or are on kidney dialysis don't use Alka-Seltzer Original (Aspirin / Citric Acid / Sodium Bicarbonate); a different antacid would be better for you.
                                            • Can cause more serious side effects for people with kidney disease. Ask your doctor to give you a lower dose or choose a different option.
                                            • Because Pepcid (Famotidine) is processed by the kidney it can cause some worrisome side effects for people with kidney problems. These include confusion, delirium, and a dangerous irregular heartbeat known as QT prolongation. If you have kidney problems, you may need a different dose to prevent this increased risk for side effects.
                                            No kidneys and liver related info.
                                            • People with kidney disease on dialysis may need to take a lower dose or avoid use. Your doctor can do blood tests to see if it's safe to use.
                                            • If you have kidney or hyperparathyroid disease Rolaids (Calcium Carbonate / Magnesium Hydroxide) can build up in your blood. This may can cause toxic levels of calcium in your body. This is more likely if you have severe kidney disease (defined as a kidney function blood test called GFR of less than 30ml/min). If you have severe kidney disease or are on kidney dialysis don't use Rolaids (Calcium Carbonate / Magnesium Hydroxide); a different antacid would be better for you.
                                            • Rolaids (Calcium Carbonate / Magnesium Hydroxide) contains calcium. Calcium can be an ingredient in some kidney stones. If you have had kidney stones in the past (especially the calcium-containing kind) be careful using Rolaids (Calcium Carbonate / Magnesium Hydroxide). Use the lowest dose for the shortest time possible or just play it safe and use a different antacid instead.
                                            No kidneys and liver related info.
                                            • People with kidney disease on dialysis may need to take a lower dose or avoid use. Your doctor can do blood tests to see if it's safe to use.
                                            • If you have kidney or hyperparathyroid disease Tums (Calcium Carbonate) can build up in your blood. This may can cause toxic levels of calcium in your body. This is more likely if you have severe kidney disease (defined as a kidney function blood test called GFR of less than 30ml/min). If you have severe kidney disease or are on kidney dialysis don't use Tums (Calcium Carbonate); a different antacid would be better for you.
                                            • Tums (Calcium Carbonate) contains calcium. Calcium can be an ingredient in some kidney stones. If you have had kidney stones in the past (especially the calcium-containing kind) be careful using Tums (Calcium Carbonate). Use the lowest dose for the shortest time possible or just play it safe and use a different antacid instead.
                                            • People with kidney disease may need to avoid Maalox. Ask your doctor.
                                            • If you have kidney disease Maalox (Aluminum / Magnesium / Simethicone) can build up in your blood. This may can cause toxic levels of aluminum or magnesium in your body. This is more likely if you have severe kidney disease (defined as a kidney function blood test called GFR of less than 30ml/min). If you have severe kidney disease or are on kidney dialysis don't use Maalox (Aluminum / Magnesium / Simethicone); a different antacid would be better for you.
                                            • People with kidney disease may need to take a lower dose.
                                            • Zantac 75 (Ranitidine) is processed by the kidney and liver. If you have kidney or liver problems, you may need a different dose to prevent this increased risk for side effects.
                                            • People with kidney disease may need to take a lower dose.
                                            Upsides and benefits
                                            PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
                                            • Most people can take Pantoprazole without any noticeable day-to-day side effects.
                                            • Pantoprazole lasts longer than other types of antacids (like Zantac, Pepcid, or Tums), and you only need to take it once or twice a day.
                                            • You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need relief right away.
                                            • In studies it was better than a placebo (sugar pill) and as good as other proton pump inhibitors at treating heartburn.
                                            • Available as both a generic and over-the-counter option, so it's pretty affordable.
                                            • Most people can take Nexium without any noticeable day-to-day side effects.
                                            • Nexium lasts longer than other types of antacids (like Zantac, Pepcid, or Tums), and you only need to take it once or twice a day.
                                            • You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need relief right away.
                                            • In studies it was better than a placebo (sugar pill) and as good as other proton pump inhibitors at treating heartburn.
                                            • Available as both a generic and over-the-counter option, so it's pretty affordable.
                                            • Works great if you have an upset stomach and a headache or body pain at the same time.
                                            • Works really fast.
                                            • Available over the counter without a prescription.
                                            • Cheap.
                                            • Most people can take Famotidine without any noticeable day-to-day side effects.
                                            • Famotidine lasts longer than many other antacids like Maalox and Tums, and you only need to take it once or twice a day.
                                            • You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need relief right away.
                                            • Available as both a generic and over-the-counter option, so it's pretty affordable.
                                            • Few drug interactions.
                                            • Most people can take Zegerid without any noticeable day-to-day side effects.
                                            • Zegerid lasts longer than other types of antacids (like Zantac, Pepcid, or Tums), and you only need to take it once or twice a day.
                                            • You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need relief right away.
                                            • In studies it was better than a placebo (sugar pill) and as good as other proton pump inhibitors at treating heartburn.
                                            • Available as both a generic and over-the-counter option, so it's pretty affordable.
                                            • Works really fast.
                                            • Available over the counter without a prescription.
                                            • Cheap.
                                            • Most people can take Omeprazole without any noticeable day-to-day side effects.
                                            • Omeprazole lasts longer than other types of antacids (like Zantac, Pepcid, or Tums), and you only need to take it once or twice a day.
                                            • You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need relief right away.
                                            • In studies it was better than a placebo (sugar pill) and as good as other proton pump inhibitors at treating heartburn.
                                            • Available as both a generic and over-the-counter option, so it's pretty affordable.
                                            • Works really fast.
                                            • Available over the counter without a prescription.
                                            • Cheap.
                                            • Works really fast.
                                            • Available over the counter without a prescription.
                                            • Cheap.
                                            • Most people can take Ranitidine without any noticeable day-to-day side effects.
                                            • Ranitidine lasts longer than many other antacids like Maalox and Tums, and you only need to take it once or twice a day.
                                            • You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need relief right away.
                                            • Available as both a generic and over-the-counter option, so it's pretty affordable.
                                            • Few drug interactions.
                                            • Most people can take Cimetidine without any noticeable day-to-day side effects.
                                            • Cimetidine lasts longer than many other antacids like Maalox and Tums, and you only need to take it once or twice a day.
                                            • You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need relief right away.
                                            • Available as both a generic and over-the-counter option, so it's pretty affordable.
                                            Downsides and risks
                                            PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
                                            • Doesn't start working as fast as some other antacids like Tums, Rolaids, or Maalox.
                                            • Like with other proton pump inhibitors, long-term use can cause weak or broken bones.
                                            • Can cause low levels of magnesium in the blood. You might need to take a magnesium supplement if you use Pantoprazole long-term.
                                            • Can be expensive. Other alternatives are usually cheaper than Pantoprazole.
                                            • Less risk of drug interactions with Pantoprazole than with other proton pump inhibitors.
                                            • Doesn't start working as fast as some other antacids like Tums, Rolaids, or Maalox.
                                            • Like with other proton pump inhibitors, long-term use can cause weak or broken bones.
                                            • Can cause low levels of magnesium in the blood. You might need to take a magnesium supplement if you use Nexium long-term.
                                            • Can be expensive—especially the purple brand-name pill. Other alternatives are usually cheaper than Nexium and work just as well.
                                            • Can interact with other drugs so be sure your doctor knows all the medicine you're taking before starting Nexium.
                                            • Doesn't last very long.
                                            • Other antacids like Zantac (H2 blockers) and omeprazole (proton pump inhibitors) can work better and last longer.
                                            • Because it has aspirin in it, it increases the risk of bleeding, especially if you take any other blood thinning medicine.
                                            • Can't be used by people with allergy to aspirin.
                                            • You may not like the taste or fizz.
                                            • Other antacids like Maalox, Tums, or Rolaids often start to work more quickly than Famotidine.
                                            • Medication like omeprazole (proton pump inhibitors) works better at healing and preventing stomach ulcers than medication like Famotidine (H2 blockers).
                                            • Can cause more serious side effects for people with kidney disease. Ask your doctor to give you a lower dose or choose a different option.
                                            • Doesn't start working as fast as some other antacids like Tums, Rolaids, or Maalox.
                                            • Like with other proton pump inhibitors, long-term use can cause weak or broken bones.
                                            • Can cause low levels of magnesium in the blood. You might need to take a magnesium supplement if you use Zegerid long-term.
                                            • Although the generic is affordable, other medications might still be cheaper than Zegerid.
                                            • Can interact with other drugs so be sure your doctor knows all the medicine you're taking before starting Zegerid.
                                            • Doesn't last very long.
                                            • Other antacids like Zantac (H2 blockers) and omeprazole (proton pump inhibitors) can work better and last longer.
                                            • Some chalky aftertaste.
                                            • Doesn't start working as fast as some other antacids like Tums, Rolaids, or Maalox.
                                            • Like with other proton pump inhibitors, long-term use can cause weak or broken bones.
                                            • Can cause low levels of magnesium in the blood. You might need to take a magnesium supplement if you use Omeprazole long-term.
                                            • Although the generic is affordable, other medications might still be cheaper than Omeprazole.
                                            • Can interact with other drugs so be sure your doctor knows all the medicine you're taking before starting Omeprazole.
                                            • Doesn't last very long.
                                            • Other antacids like Zantac (H2 blockers) and omeprazole (proton pump inhibitors) can work better and last longer.
                                            • Some chalky aftertaste.
                                            • Doesn't last very long.
                                            • Other antacids like Zantac (H2 blockers) and omeprazole (proton pump inhibitors) can work better and last longer.
                                            • Some people don't care for the taste.
                                            • Other antacids like Maalox, Tums, or Rolaids often start to work more quickly than Ranitidine.
                                            • Medication like omeprazole (proton pump inhibitors) works better at healing and preventing stomach ulcers than medication like Ranitidine (H2 blockers).
                                            • Other antacids like Maalox, Tums, or Rolaids often start to work more quickly than Cimetidine.
                                            • Medication like omeprazole (proton pump inhibitors) works better at healing and preventing stomach ulcers than medication like Cimetidine (H2 blockers).
                                            • Has more drug interactions than zantac and pepcid.
                                            • Although rare, Cimetidine can cause large breasts or impotence for men who need to use high doses for 6 months or more. It's reversible though and should go away when you stop or if you change medication.
                                            Tips from our pharmacists for people taking the medication
                                            PantoprazoleNexiumAlka SeltzerPepcidZegeridRolaidsOmeprazoleTumsMaaloxZantacTagamet
                                            • Take with or without food.
                                            • Swallow tablets whole; don't split, crush, or chew.
                                            • Take the oral suspension 30 minutes before a meal mixed only with applesauce or apple juice. Follow instructions carefully.
                                            • When using Pantoprazole long-term, take a calcium citrate with vitamin D supplement daily to prevent bone loss. Be sure it's calcium citrate because it works the best when using a proton pump inhibitor.
                                            • Get a blood test for your magnesium level once a year; you may need a magnesium supplement while using Pantoprazole.
                                            • Avoid drug interactions by telling your doctor all of the other medications or herbal supplements you take before starting Pantoprazole.
                                            • Take 1 hour before a meal.
                                            • Don't chew or crush capsules; swallow them whole.
                                            • If you have trouble swallowing you can carefully open the capsules and sprinkle the inside pellets onto applesauce. Swallow the applesauce without chewing or crushing the pellets.
                                            • When using Nexium long-term, take a calcium citrate with vitamin D supplement daily to prevent bone loss. Be sure it's calcium citrate because it works the best when using a proton pump inhibitor.
                                            • Get a blood test for your magnesium level once a year; you may need a magnesium supplement while using Nexium.
                                            • Avoid drug interactions by telling your doctor all of the other medications or herbal supplements you take before starting Nexium.
                                            • Don't take Alka-Seltzer if you're allergic to aspirin.
                                            • Take it with food to lower the chance of an upset stomach.
                                            • This medicine isn't recommended for kids 12 and younger because it has aspirin in it.
                                            • Stop taking this right away and talk to your doctor if you have ringing in your ears, rash, trouble breathing, unusual bleeding, or nausea or vomiting that doesn't go away.
                                            • Having a dental or medical procedure? You may need to stop taking this before the big day. Ask your dentist or doctor.
                                            • Alka-Seltzer contains sodium. If you need to follow a low sodium diet a different medication would be better for you.
                                            • Not a good choice if you have stomach bleeding, bleeding problems, diabetes, or gout, or if you're taking medicines to thin your blood.
                                            • Short-term treatment of ulcers and acid reflux.
                                            • Take 1 hour before a meal.
                                            • Don't chew or crush capsules; swallow them whole.
                                            • Avoid drug interactions by telling your doctor all of the other medications or herbal supplements you take before starting Zegerid.
                                            • If you've been having heartburn for 3 months or more, talk to your doctor before taking Zegerid. Get a check-up to make sure you aren't having a more serious stomach problem.
                                            • Talk to your doctor if you're still having heartburn after two weeks of use. Don't keep taking Zegerid; get checked-out first.
                                            • Take at the first sign of discomfort.
                                            • You might need to take more than once a day but pay attention to the instructions on your bottle to avoid overdosing.
                                            • Take 1-2 hours apart from other medication that you take by mouth.
                                            • If heartburn doesn't improve or lasts more than 2 weeks, talk to your doctor.
                                            • People with kidney disease on dialysis may need to take a lower dose or avoid use. Your doctor can do blood tests to see if it's safe to use.
                                            • Don't take if you have high blood calcium levels.
                                            • Take 1 hour before a meal.
                                            • Don't chew or crush capsules; swallow them whole.
                                            • If you have trouble swallowing you can carefully open the capsules and sprinkle the inside pellets onto applesauce. Swallow the applesauce without chewing or crushing the pellets.
                                            • When using Omeprazole long-term, take a calcium citrate with vitamin D supplement daily to prevent bone loss. Be sure it's calcium citrate because it works the best when using a proton pump inhibitor.
                                            • Get a blood test for your magnesium level once a year; you may need a magnesium supplement while using Omeprazole.
                                            • Avoid drug interactions by telling your doctor all of the other medications or herbal supplements you take before starting Omeprazole.
                                            • Take at the first sign of discomfort.
                                            • You might need to take more than once a day but pay attention to the instructions on your bottle to avoid overdosing.
                                            • You need to separate Tums from some medications to avoid interactions.
                                            • If heartburn doesn't improve or lasts more than 2 weeks, talk to your doctor.
                                            • People with kidney disease on dialysis may need to take a lower dose or avoid use. Your doctor can do blood tests to see if it's safe to use.
                                            • Don't take if you have high blood calcium levels.
                                            • Take 1-3 hours after a meal.
                                            • Take 1-2 hours apart from other medication that you take by mouth.
                                            • Tell your doctor if you have severe diarrhea or constipation.
                                            • People with kidney disease may need to avoid Maalox. Ask your doctor.
                                            • Works best if you take it with a full glass of water.
                                            • Starts working in one hour.
                                            • If heartburn doesn't improve or lasts more than 2 weeks, talk to your doctor.
                                            • People with kidney disease may need to take a lower dose.
                                            • Works best if you take it with a full glass of water.
                                            • Starts working in one hour.
                                            • If heartburn doesn't improve or lasts more than 2 weeks, talk to your doctor.
                                            • People with kidney disease may need to take a lower dose.
                                            • Tell your doctor all of the medications that you use before taking Cimetidine to avoid drug interactions.
                                            Learn more
                                            More about PantoprazoleSide effectsReviews & ratingsAlternativesFDA package insert
                                            Have you used Protonix (Pantoprazole)?
                                            Worth itNot sureNot worth it
                                            More about NexiumSide effectsReviews & ratingsFDA package insert
                                            Have you used Nexium (Esomeprazole)?
                                            Worth itNot sureNot worth it
                                            More about Alka SeltzerSide effectsReviews & ratingsFDA package insert
                                            Have you used Alka-Seltzer Original (Aspirin / Citric Acid / Sodium Bicarbonate)?
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                                            More about PepcidSide effectsReviews & ratingsFDA package insert
                                            Have you used Pepcid (Famotidine)?
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                                            More about ZegeridSide effectsReviews & ratingsFDA package insert
                                            Have you used Zegerid (Omeprazole / Sodium Bicarbonate)?
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                                            More about RolaidsSide effectsReviews & ratingsFDA package insert
                                            Have you used Rolaids (Calcium Carbonate / Magnesium Hydroxide)?
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                                            More about OmeprazoleSide effectsReviews & ratingsFDA package insert
                                            Have you used Prilosec (Omeprazole)?
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                                            More about TumsSide effectsReviews & ratingsFDA package insert
                                            Have you used Tums (Calcium Carbonate)?
                                            Worth itNot sureNot worth it
                                            More about MaaloxSide effectsReviews & ratingsFDA package insert
                                            Have you used Maalox (Aluminum / Magnesium / Simethicone)?
                                            Worth itNot sureNot worth it
                                            More about ZantacSide effectsReviews & ratingsFDA package insert
                                            Have you used Zantac 75 (Ranitidine)?
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                                            More about TagametSide effectsReviews & ratingsFDA package insert
                                            Have you used Tagamet (Cimetidine)?
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