Over-the-Counter Remedies: What Works and What to Watch Out For

Sometimes, despite careful food choices and lifestyle changes, acid reflux still flares up. That’s when many people reach for over-the-counter (OTC) remedies. These medications can offer fast relief—but they’re not all the same, and they’re not always meant for long-term use.

The 3 Main Types of OTC Acid Reflux Medications

1. Antacids

Examples: Kremil-S, Gaviscon, Tums

1. How they work: Neutralize the acid in your stomach by stopping an enzyme that creates acid to break down food for digestion (pepsin). They provide fast relief but have a short duration.
2. Best for mild, occasional symptoms (e.g., after a big meal).

Good for: Quick, temporary relief.

Watch out for: Overuse can cause diarrhea or constipation.

2. H2 Blockers

Examples: Cimetidine (Tagamet), Pepcid

1. How they work: Reduce the amount of acid your stomach produces. Relief may take longer but lasts longer (up to 10 hours).
2. Best for moderate reflux or night-time symptoms.

Good for: Predictable symptoms (e.g., every night).

Watch out for: Tolerance can develop if used daily for long periods.

3. Proton Pump Inhibitors (PPIs)

Examples: Omeprazole (Prilosec), Nexium, Pantoprazole

1. How they work: Reduce how much acid your stomach makes.
2. Best for frequent reflux and GERD, often taken once a day before breakfast.

Good for: Persistent symptoms or when prescribed by a doctor.

Watch out for: Long-term use may cause nutrient deficiencies (e.g., magnesium, B12), and increase the risk of infection or bone issues.

Natural Remedies – Do They Work?

Some people prefer “natural” approaches, but these should be used with caution and ideally with a doctor’s or nutritionist’s input.

Might Help (for mild symptoms):

1. Ginger tea (anti-inflammatory)
2. Chewing gum (stimulates saliva and clears acid)
3. Aloe vera juice (in small amounts, if tolerable)

Be Cautious With:

1. Apple cider vinegar – often claimed to help, but may worsen symptoms for some
2. Baking soda water – can relieve temporarily but isn’t safe for frequent use
3. Herbal supplements – not all are safe; some may interact with medications

“Natural” doesn’t always mean safe—lalo na kung may iniinom kang gamot. Ask your doctor before trying new remedies.

When to Consult a Doctor

Ask for professional advice if:

1. You’re using OTC meds more than twice a week
2. Symptoms come back right after stopping medication
3. You experience side effects like headaches, diarrhea, or unusual fatigue
4. You’re pregnant, breastfeeding, or managing other medical conditions

A doctor may suggest:

1. Diagnostic tests
2. Long-term PPI therapy (with monitoring)
3. Specialist referral (like a gastroenterologist)

Teaming Up With Experts

A doctor can determine if your reflux is part of a more serious issue (like GERD or ulcers). A nutritionist can guide you on foods that soothe your symptoms, reduce inflammation, and nourish your body—without making reflux worse.

In Summary

OTC meds can be part of your reflux toolkit—but they’re not a substitute for lifestyle changes or expert guidance. Think of them as temporary tools while you work on long-term habits.