GERD Medication Management Schedule

Morning Medications

Before Breakfast (on empty stomach)

• Proton Pump Inhibitor (PPI): Take 30-60 minutes before first meal
  • Examples: Omeprazole, Esomeprazole, Pantoprazole
  • Time: : AM

With Breakfast

• Antacids (if prescribed): Take with food
  • Time: : AM

Afternoon Medications

Before Lunch (if on twice-daily PPI)

• Second PPI dose (if prescribed): Take 30-60 minutes before lunch
  • Time: : PM

As Needed

• Antacids for breakthrough symptoms
• H2 Blockers (if prescribed)
  • Wait at least 2 hours after PPI

Evening Medications

Before Dinner

• H2 Blocker (if prescribed): Take 30 minutes before evening meal
  • Examples: Famotidine, Ranitidine
  • Time: : PM

Important Notes

1. Timing Matters

   • Take PPIs consistently at the same time each day
   • Maintain 2-hour spacing between PPIs and H2 blockers

2. Medication Interactions

   • Avoid antacids within 2 hours of taking PPIs
   • Check with your doctor about interactions with other medications

3. Duration

   • Continue this schedule as prescribed by your physician
   • Do not stop PPIs abruptly without medical advice

Patient Name: ________________
Date: ________________
Physician: ________________