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Here's a List of Ulcer Medications You Need to Know

Heartburn can make it difficult to eat and feel uncomfortable. However, not to worry, there are several choices for heartburn medication that can relieve heartburn symptoms, so that you can continue to carry out daily activities without stomach pain and nausea.

Ulcer or dyspepsia is a term used to describe a complaint in the form of discomfort in the upper abdomen or solar plexus. When you have an ulcer, you may feel some symptoms, such as stinging or heartburn, nausea, vomiting, lots of belching, and flatulence.
Symptoms of heartburn can be caused by several things, such as:
  • Gastritis, stomach acid disease (GERD), peptic ulcers, or stomach infections.
  • A diet that consumes too much spicy, fatty, acidic food, and foods that contain a lot of gas.
  • Frequently consume caffeinated drinks and alcohol.
  • The habit of lying or sleeping after eating.
  • Pregnancy
  • Excessive stress.
  • Side effects of drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs), birth control pills, and corticosteroids.
This Ulcer Medication You Can Choose
Heartburn treatment needs to be adjusted according to the causes. Usually, mild heartburn symptoms can subside on their own. However, if heartburn complaints are felt to be quite severe, you can overcome them by taking the following heartburn medication:

1. Antacids
Antacids are ulcer drugs that can be purchased at pharmacies without a doctor's prescription. This drug works by neutralizing stomach acid so that complaints of heartburn can be reduced.

Although rare, this one ulcer drug can cause several side effects, such as abdominal bloating, diarrhea, and nausea. Some antacid drug products are also not recommended for use in children under 12 years of age as well as pregnant and nursing mothers.

Consumption of this drug must be in accordance with the instructions and dosage of the use listed on the drug packaging or as directed by a doctor. Avoid taking antacid drugs beyond the recommended dosage.

2. H2 antagonistic drugs
H2 antagonistic drugs work by reducing the production of stomach acid. Examples of ulcer drugs that are included in this class of drugs are cimetidine, famotidine, and ranitidine. The drug is available in tablet and injection form. In contrast to antacids, ulcer drugs of H2 antagonists need to be obtained by prescription from a doctor.

These ulcer drugs rarely cause side effects, but their use in pregnant or breastfeeding women, patients with kidney and liver disease, as well as people with weak immune systems should be avoided or consulted first with a doctor.

3. Proton pump inhibitors (PPIs)
Proton pump inhibitors (PPIs) are a group of drugs that can treat heartburn symptoms by inhibiting enzymes that produce stomach acid. Examples of these types of drugs are omeprazole, esomeprazole, lansoprazole, and pantoprazole.

Although rare, this drug can cause side effects such as nausea, dizziness, constipation and bloat. Just like an ulcer drug type H2 antagonist, this class of drugs must also be obtained by prescription from a doctor.
4. Sucralfate
Sucralfate is often used to treat heartburn symptoms caused by peptic ulcers, GERD, and gastric infections. This drug works by coating the stomach wall and prevent it from irritation and inflammation due to excess stomach acid or infection. This medicine is available in syrup form.

The drug ulcer sucralfate rarely causes side effects, but sometimes it can cause constipation. This drug is often used in conjunction with other types of ulcer drugs.

5. Bismuth subsalicylate
In addition to the drugs above, heartburn can also be treated with a drug called bismuth subsalicylate. Drugs that are available in the form of syrup work by neutralizing and reducing the production of stomach acid and relieve inflammation in the stomach.

In addition to treating heartburn, bismuth subsalicylate can also be used to treat diarrhea. This drug can cause side effects such as flatulence, nausea, vomiting, and the color of the stool to brown or blackish.

6. Antibiotics
Antibiotic drugs are not commonly used to treat heartburn symptoms. Antibiotics are usually only prescribed by a doctor if the symptoms of an ulcer you feel are caused by a bacterial infection, such as the bacterium Helicobacter pylori.

Types of drugs that belong to the class of antibiotics to treat heartburn are amoxicillin, clarithromycin, metronidazole, and tetracycline. Make sure the antibiotic dosage is used as directed by your doctor or pharmacist.

In addition to taking the drugs above, heartburn sufferers also need to avoid heartburn triggers foods, adopt a regular diet, exercise regularly, and manage stress well to prevent the recurrence of an ulcer.

If an ulcer does not improve within two weeks after taking an ulcer drug or symptoms of ulcer appear along with other dangerous symptoms, such as vomiting blood, difficulty swallowing, black stool, to weight loss, you should consult a doctor for further treatment.

Source:
  • Singh, P. & Terrell, J.M. NCBI Bookshelf (2019). Antacids.
  • Esfahani, et al. (2017). Antacids, Sucralfate and Bismuth Salts for Functional Dyspepsia. The Cochrane Database of Systematic Reviews. 2017(6), CD012686.
  • Badan Pengawas Obat dan Makanan Republik Indonesia. Pusat Informasi Obat Nasional. 1.3.1 Antagonis Reseptor-H2.
  • National Health Service UK (2019). Health A to Z. Antacids.
  • National Institutes of Health (2019). U.S. National Library of Medicine MedlinePlus. Bismuth Subsalicylate.
  • National Institutes of Health (2019). U.S. National Library of Medicine MedlinePlus. Sucralfate.
  • National Institutes of Health (2016). National Institue of Diabetes and Digestive and Kidney Disease. Symptoms & Causes of Indigestion.
  • National Institutes of Health (2016). National Institue of Diabetes and Digestive and Kidney Disease. Treatment of Indigestion.
  • Mayo Clinic (2019). Diseases and Conditions. Indigestion.
  • Mayo Clinic (2019). Drugs and Supplements. Sucralfate (Oral Route).
  • Drugs (2018). Drug Classes. Proton Pump Inhibitors.
  • Drugs. Histamine H2 Antagonist.
  • Family Doctor, American Academy of Family Physicians (2018). Indigestion (Dyspepsia).
  • Ogbru, O. MedicineNet (2019). Bismuth Subsalicylate (Pepto Bismol, Kaopectate).
  • Ogbru, O. MedicineNet (2019). Proton Pump Inhibitors (PPIs).
  • Santacroce, L. Medscape (2019). Drugs & Diseases. Helicobacter Pylori Infection Treatment & Management.
  • Tidy, C. Patient Info UK (2018). H2 Blockers.
  • WebMD. Drugs & Medications. Sucralfate.
  • WebMD (2018). Indigestion.
  • Alodokter.
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