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My dog has acid reflux and takes omeprizol 1/2 tab in AM but

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still suffers the rest of...
My dog has acid reflux and takes omeprizol 1/2 tab in AM but still suffers the rest of the day. (I also have it so I know what he feels like.) Is there something that would help him during the day? He weighs 10 lbs
Submitted: 2 years ago.Category: Dog
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Answered in 21 minutes by:
7/16/2015
Dog Specialist: Dr. Gary, Dog Veterinarian replied 2 years ago
Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog
Satisfied Customers: 19,882
Experience: DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
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Hello. You can use other antacids in dogs. I like to use Pepcid AC (Famotidine). I find that it works well for acid reflux. Omeprazole is more of a second line antacid to me. I usually start with Pepcid, then add Omeprazole if needed. If still having signs, you can use Sucralfate. This is a tablet that is made into a slurry and given. It helps to coat the esophagus and soothe the discomfort. Lastly, something to help with motility could be an option. Metoclopramide or Cisapride are the common pro-motility meds. I hope this helps, let me know if you have any other questions.
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Customer reply replied 2 years ago
Are you saying to switch to just the Famotidine? I had a Pom years ago that had similar issues for a while and he took both but one of them was stopped after he leveled out. I just don't remember which was ongoing and which was short term. Also, he was a 6 lb Pom and this one is 10 lbs. What would dosage be, and for how long?
Dog Specialist: Dr. Gary, Dog Veterinarian replied 2 years ago
I would go with Omeprazole + Famotidine right now. The combination hits different acid producers and can work synergistically with each other. In a 10 lb dog, you can give 5 mg 1-2 times daily.
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Customer reply replied 2 years ago
"In a 10 lb dog, you can give 5 mg 1-2 times daily." meaning just the Famotidine and continuing with no change regarding the Omeprazole Or both 5 mg 1-2 times a day? Sorry. Just need a clarification.
Dog Specialist: Dr. Gary, Dog Veterinarian replied 2 years ago
That's correct. Famotidine 5 mg 1-2 times daily. Omeprazole at the current dose you're giving. I usually do Famotidine twice daily and Omeprazole once daily.
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Customer reply replied 2 years ago
Where do you think I'd see an improvement? How long should I keep him on both?
Customer reply replied 2 years ago
*When* not Where.
Dog Specialist: Dr. Gary, Dog Veterinarian replied 2 years ago
You should see less acid reflux signs- less gagging, hard swallowing, vomiting. It should be within the first 2-3 days that you see an improvement. Once normal for 1-2 weeks. I'd back down to once daily on Famotidine and then if still good for 1-2 weeks I'd stop the Omeprazole since that one didn't seem to do the job on it's own.
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Customer reply replied 2 years ago
Then keep on with the Famotidine indefinitely?
Customer reply replied 2 years ago
Should I always keep him on the Famotidine or stop when symptoms subside?
Dog Specialist: Dr. Gary, Dog Veterinarian replied 2 years ago
I'd eventually try to wean him off everything if you can. Just take your time with it.
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Customer reply replied 2 years ago
Started Famotidine this morning. Hopefully by Monday I'll have good news. Thank you for sharing your knowledge on this site. It is so appreciated!!
Dog Specialist: Dr. Gary, Dog Veterinarian replied 2 years ago
You're welcome. I hope things are looking better.
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Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog
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Experience: DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ

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