Should You Take OTC Antacids?

OTC antacids provide short-term relief from heartburn, but they’re not a permanent fix for ulcers or GERD. Persistent symptoms require medical attention for proper diagnosis and effective treatment.

Nonprescription or OTC antacids are among the most consumed drugs globally, offering a fast remedy to heartburn, acid indigestion, and other related complaints. However, are they the best solution for everyone? Are they suitable for regular use? Although these medications are readily available and convenient to use, it is crucial to know when and how they should be taken, as well as their side effects.

What are OTC Antacids?

OTC antacids are drugs that help to counteract the effects of stomach acid. They usually include magnesium, calcium carbonate or aluminium, which help neutralise stomach acid. Antacids come in various forms, including tablets, chewables, liquids, and powders and are easily accessible without a prescription. These are used for the management of mild to moderate symptoms of acid reflux, heartburn, and indigestion and provide only short-term relief.

Benefits of OTC Antacids

Some of the benefits of using OTC antacids are:

  1. Immediate Relief: Antacids act very fast, within minutes, and thus are suitable for immediate relief of the symptoms.
  2. Accessible: They are over-the-counter products and are easily accessible without a doctor’s prescription.
  3. Variety of Forms: Depending on your preference, you can get liquid, chewable tablets, or dissolvable powders.
  4. Temporary Solution: In cases of mild heartburn or indigestion, antacids can provide relief without the use of stronger drugs.

However, while these benefits may make OTC antacids seem like a perfect solution, it is crucial to know the possible side effects of its frequent use and when one should seek medical advice.

Risks of Overusing OTC Antacids

Given are some of the potential side effects of overconsuming OTC antacids:  

  1. Masking Underlying Issues: Antacids are good for quick relief, but they do not solve the problem of your digestive system. Recurrent heartburn or acid reflux could be a sign of a more serious condition such as GERD, ulcers or even a possible stomach infection. Using antacids to cover up these problems may lead to a postponement of the required medical care.
  2. Potential Side Effects: OTC antacids, especially those with magnesium, may result in diarrhoea while those with aluminium may cause constipation. Calcium carbonate in antacids can cause kidney stones and disrupt the body’s mineral levels when taken in high quantities.
  3. Rebound Acidity: Taking too many antacids may lead to the condition known as rebound acidity, wherein the stomach begins to secrete more acid once the effects of the antacids fade away. This can create a vicious cycle of using more antacids which in fact makes the situation worse over time.
  4. Interactions with Medications: OTC antacids may also interfere with other medications, decreasing their efficacy, and leading to adverse effects. For instance, they may decrease the uptake of antibiotics or drugs administered in the treatment of thyroid disorders.
  5. Calcium Imbalance: Excessive use of antacids containing calcium carbonate may result in hypercalcemia, or high levels of calcium in the blood, which may lead to confusion, nausea, and abnormal heart rhythms.

When should you take OTC Antacids?

OTC antacids are most appropriate for occasional use, especially if you have symptoms like heartburn or acid reflux after consuming certain foods or when lying down. However, if you are taking antacids more than once a week, then it may be time to change your strategy. Persistent or frequent heartburn may be a sign of a serious gas-related condition that needs medical intervention. Some of such diseases are GERD, ulcer, or hiatal hernia, which may also cause constant acid reflux and may require different management.

If your symptoms last for more than two weeks or if you have other symptoms like swallowing problems, sudden weight loss, or constant nausea, you should see a gastroenterologist. Connect through Apollo with one of the best gastroenterologists in Delhi, Dr Sanjay Jain, for a thorough evaluation and personalised treatment plan.

Conclusion

Over-the-counter antacids can be effective in providing immediate relief to occasional heartburn or indigestion but are not ideal for long-term use for digestive disorders. Knowing what may be dangerous for your digestive system and when it is time to consult a doctor is important. So, don’t let digestive problems affect your quality of life. Consult Dr Sanjay Jain, one of the best gastroenterologists in Delhi with Apollo, to find the proper treatment for your condition.

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