Health Risks Caused By Treating Acid Reflux or GERD

Acid reflux or heartburn is a common problem for both men and women.  The treatment for acid reflux is usually a proton pump inhibitor medication or PPI.  Examples of PPIs are Prilosec-omeprazole, Nexium-esomeprazole, Protonix-pantoprazole, Aciphex-rabeprazole and Prevacid-lasoprazole.  PPIs work by stopping the release of hydrogen ions by the parietal cells in the stomach lining.  This process decreases the amount of stomach acid produced.  The short term use of PPIs are useful for healing  stomach ulcers or severe cases of acid reflux.  Long term use of PPIs can lead to serious health problems.

Health Problems Related to Long Term Use of Proton Pump Inhibitors                                  1. Increased fracture risk due to decreased calcium absorption                                            2. Increased risk of pneumonia-decreased stomach acid allows bad bacteria to survive in the stomach that may travel up the esophagus and get inhaled into the lungs.                                                                                                                                      3. Long term use of PPIs are associated with an increased risk of dementia                        4. PPIs decrease the absorption of iron and vitamin B12 which leads to anemia                 5. PPIs interact with the blood thinner Plavix (Clopidgel) decreasing its effectiveness

Alternatives to Proton Pump Inhibitors                                                                                    1. HIstamine H2 blockers – Zantac (raniditine), Pepcid (famotidine). Tagamet (Cimetidine).  These medications also block acid in the stomach, not as completely as the PPIs but are helpful for acid reflux without the long term health consequences.                                          2.  Antacids- Examples are Maalax, Tums and Gaviscon.  Gaviscon is the best antacid for reflux because it floats on top of stomach acid and offers the esophagus protection from acid.                                                                                                                                           3.  Probiotics- Replacing bacteria needed for digestion my help acid reflux                                                                                                                                                                               Life Style Changes That Decrease Acid Reflux                                                                       1.  Drink plenty of water-this helps neutralize stomach acid                                                    2.  Remain in an upright position for one to two hours after eating







Quercetin-A great supplement

Quercetin is a supplement that has antioxidant and anti-inflammatory properties. Quercetin is a plant pigment or flavonoid that gives fruits, flowers and vegetables their colors.  An antioxidant is a compound that neutralizes free radicals.  Free radicals are unstable molecules found in the body that cause cell damage.  A definition of a free radical can be found at  An over abundance of free radicals in the body can lead to heart disease, cancer, movement disorders, liver damage, mental health related diseases, arthritis, diabetes, respiratory diseases, allergies and prostate disease.  Check out WebMD for more information and testimonials.

Quercetin is a good supplement to try if you suffer from allergies, respiratory diseases, prostate enlargement, high cholesterol, heart disease, arthritis or parkinson’s disease.

Service Drug carries the NOW brand of Quercetin.  Please call 218-829-3664 for ordering information.

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Omega-7 Capsules

*Lower bad cholesterol (LDL)

*Blocks plaque formation in blood vessels

*Decreases cellular inflammation which helps cells release fat and helps in weight loss and cancer protection

*Supports insulin production – Excellent for diabetics

*Dosage: One capsule daily one pharmacists advice









*Great for arthritis-increases joint mobility in 7 to 10 days

*Dosage:OEGGSHELLne capsule daily

Asthma Action Plan

The cold weather is upon us and asthmatic attacks become more frequent.  If you have asthma or have an asthma sufferer in your family please be prepared with the proper supplies.The following medications require prescriptions from your doctor. Ask for these at your yearly physical or give your doctor a call.  Your pharmacist can also put in a request to your doctor for these medications.

1. Advair or Dulera Inhalers

2. Rescue inhaler- Ventolin or Proventil

3. Nebulizer with a non-expired  supply of albuterol or albuterol/ipratropium solutions

4. Prednisone tablets for an emergencies.

Please take time to talk to your pharmacist about your asthma and the correct use of your asthma medications

Good Ideas

Fall has arrived and it is time to stock up on supplements that will prepare you for colder weather.

Vitamin D:  If you are not going to be in the sun all winter take at least 2,000 IU of Vitamin D daily.  Be sure to request a Vitamin D blood level at your next doctor appointment.  Vitamin D blood levels should be at least 30ng/ml.

Evening Primrose Oil Capsules:  Evening Primrose Oil is an essential fatty acid from a wildflower of the same name.  It has been found to improve eczema and is safe for adults and children.  Recommended dosage is 500 to 1,300mg up to twice a day.  Do not take if you are on warfarin due to increased risk of bleeding.  More information can be found at

Fall colds have begun be sure you are ready with Bronchial Soothe Syrup which is safe effective for all ages



Wasp, hornets and  bees are active now.  Check your first aid kit to be sure products used for stings are in date and in good supply.

Supplies for insects bites

  1. Benadryl of Diphenhydramine in capsule and liquid form
  2. Epipen or Auvi-Q for severe reactions. These are prescription items. Request an epinephrine device from your physician even if you are not severely allergic to stings. Someone you know will be and each time you are stung the reaction can become worse. Coupons are available to help with epinephrine costs. Check out or
  3. Instant ice packs
  4. Aloe gel with lidocaine
  5. Home remedies include applying a slice of raw onion, meat tendurizer or a baking soda paste to the sting site

Diabetic News

New drugs have been approved for Type 2 diabetics

!. Afrezza- Afrezza is rapid acting insulin in a powdered form. It is inhaled and would be a replacement for Humalog or Novolog.  Afrezza cannot be used in patients with asthma or COPD.  Check out the website for more information.

2.  SGLT2 Inhibitors- Invokana, Farxiga, and Jardiance are excellent oral medications for Type 2 diabetics.  They work by having excess glucose excreted in the urine. Kidney function must be in good shape to use these drugs.  These drugs lower blood pressure and can cause weight loss.  Metformin and other diabetic medications can be used with this group of drugs if needed to get better control of blood glucose levels.  Check out…/SGLT2Inhibitors-A-New-Treatment-Optio.

Chronic Urinary Tract Infection

Chronic urinary tract infections or UTIs are common in the elderly. The cause of the urinary tract infection can be due to a sedentary lifestyle and inadequate fluid intake. Often urinary tract infections go undetected because the usual symptoms of painful urination or blood in the urine do not present themselves.  The urinary tract infection  may only be discovered when the patient ends up in the ER due to lethargy, fever and confusion.  Cranberry Mannose supplements taken daily can prevent urinary tract infections by creating an environment in the bladder that will not allow bacterial growth. Probiotics taken daily can also be helpful in the prevention of urinary tract infection.

NOW Cranberry Mannose Packets or Capsules are excellent products for UTI prevention.  NOW products are available for pick up or mail order at Service Drug. Please call 218-829-3664.