Can tablet Dexilant be taken long-term?

Hello,

Welcome to icliniq.com.

Well, these are symptoms of Gastroesophageal reflux disease (GERD). And the resolution of the symptoms with acid suppressant medications such as tablet Dexilant (Dexlansoprazole) likely confirms the diagnosis. Your endoscopy, however, does not confirm the diagnosis. Because the endoscopy should have shown LA (Los angels) grade B at least to confirm the diagnosis; but, you have LA grade A esophagitis.

Were you on tablet Dexilant when you had this endoscopy? Because then I would then be able to tell you whether you have Gastroesophageal reflux disease or not.

Whether you have GERD or not, you have responded to the tablet Dexilant, which is a good thing.

What you should do now is to take it whenever you have acid reflux, acid brash in the mouth, acidic taste of mouth, or feeling of congestion or discomfort in the throat.

If you have concerns about not taking medication for a long term, you need to go through specific pH metry testing. Otherwise, you can just let it go and keep continuing the pill. It is the recommendation worldwide.

For Helicobacter pylori, since you already took medication, it is evident on the biopsy that you do not have H.pylori. Therefore, you need not do anything further except to take good quality water and food since H.pylori is a bacteria that comes after taking unclean water and food.

I hope it answers your questions.

Let me know if you have any other concerns.

Hi,

Welcome back to icliniq.com.

I have seen the report (attachment removed to protect the patient's identity) taken before six months showing LA grade A esophagitis.

Both tablet Dexilant and tablet Nexium (Esomeprazole) have an equal effect, so I suggest either.

Do not be afraid for long-term use because this is your treatment. If you do not take it, you would have acid reflux symptoms, affecting your quality of life. What you can do is to take it intermittently, like whenever you have symptoms. You can take it for few days and then stop. But if you have signs every other day, then you need to take them on a somewhat regular basis.

The side effect profile of long-term use of Esomeprazole is acceptable. A minor fraction of patients develop kidney disease.

I suggest either tablet Dexilant or tablet Nexium, and not in combination with any other mediation.