Stacey Colino

Sure, heartburn medication is helpful, but did you know that when and how often you take it can make a difference in effectiveness and safety?

Dr. Cindy Yoshida, a gastroenterologist in Charlottesville, Va., and author of No More Digestive Problems, explains the best ways to take heartburn medication so it’ll do the job you’re counting on it to do.

Antacids

    When to take Antacids

    Antacids are for immediate relief, so you should take them when you’re experiencing heartburn,” says Yoshida. They’re fast-acting remedies -- antacids should start to provide relief within several minutes -- and you can take them before or after a meal.

    How often should you take Antacids

    You can take repeat doses of some antacids every two to four hours, but many have a maximum dosage per day that you shouldn’t exceed. As with all heartburn medication, be sure to read and follow the instructions on the package, says Yoshida. 

H2 Blocker (histamine receptor antagonist)

    When to take H2 Blockers

    You can take an H2 blocker before, during or after a meal, but if you know you’re likely to overindulge on tacos and margaritas at a party, your best bet may be to take it preventively, an hour before your big meal. This type of heartburn medication “offers short-term relief so if you take it now, it will work best in the next several hours,” says Yoshida.

    How often should you take H2 Blockers

    H2 blockers can be taken once or twice a day, but you should never take more than two doses in a 24-hour period, per the package instructions. 

Proton Pump Inhibitor (PPI)

    When to take Proton Pump Inhibitors

    While proton pump inhibitors are the most potent type of heartburn medication around, they need time to get into your bloodstream. For maximum effectiveness against heartburn, “most PPIs need to be taken 30 minutes before a meal,” says Yoshida. “Most people take them in the morning before breakfast, but if you’re not a breakfast person, taking them [half an hour] before lunch works as well.” If you’re prone to nighttime heartburn, you can take a proton pump inhibitor before dinner instead.  

    How often should you take Proton Pump Inhibitors

    Most people take proton pump inhibitors once a day, which is the standard recommendation. But some take them on an as-needed basis -- say, once a week or a few times a month. 

Heartburn medications can interact with other medicines you may be taking, so be sure to discuss this issue with your doctor to optimize effectiveness and avoid unpleasant surprises. 

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When & How to Take Heartburn Medications

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