I’d recommend trying low dose famotodine (pepcid) instead of omeprazole first. I have read a few recent articles linking proton pump inhibitors to an increase in dementia risk
“New research in
Neurology suggests that there may be a higher risk of
dementia for people who take the medications over several years. The study found that people ages 45 and older who took PPIs for more than four years had a 33% higher risk of developing dementia than people who never took this class of medication.”
I struggle too with tadalifil heartburn / esophagus sides. Even 5mg makes me feel like I’m choking on my food. Sometimes I even end up throwing up..sucks.
I usually stick with 2.5mg daily to minimize it but it’s still there. When it gets real bad a small dose of famatodine works