Treatment Name: Antacids: AlternaGEL etc. (aluminum hydroxide)

Treatment Type: Medications

Rated for: German Shepherd Dog

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Easy to use
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Not really a treatment of choice for gastroesophageal reflux

Vuk Ignjic DVM



Posted Jun. 9, 2018

No antacids, other then proton pump inhibitors (omeprazol, pantoprazol) reduce gastric acidity enough to be a viable choice in cases of gastroesophageal reflux, because esophagus is very sensitive to the corrosive effects of gastric acid, and even small amount can cause severe esophagitis. In these cases proton pump inhibitors in combination with sucralfate and some prokinetic (metoclopramide, cisapride) are a treatment of choice, no other treatment is nearly as effective in reducing the damage and helping esophagus heal.
This type of antacid can be used in adjunct, but if you already give PPI, sucralfate and cisap, it's really unnecessary. Another problem with these types of antacids is that you have to know when your dog is over-secreting stomach acid, because they just neutralize acid present in the stomach at the time of their "arrival", they don't have residual effect.

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