Family, Internal Medicine, General Medical Questions/Acid reflux

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Question
I'm 67 and in excellent health. I'm a distance runner and work with weights 3 days a week. My annual cardio and annual physical is always good. I do take aciphex daily and have for many years. It seems to be the only med of its type that works for me. Last month I started taking the new aciphex generic and at first didn't notice any problems. After several days I found myself chewing a gaviscon or 2 each night.  A few days ago a few hours after a particular heavy weightlifting routine i suddenly felt the burning of what felt like acid reflux but only in my throat area. Gaviscon didn't help so I began back on my regular aciphex yesterday. I haven't felt the acid since but I am burping a lot and, if this makes sense, I feel like I'm going to have that burning feeling each time i swallow, but I don't! My neck muscles feel like they're swollen but they're not and I'm starting to wonder if this could all have been caused by my heavy weightlifting routine the other day which was all upper body. Wonder if stress on neck muscles (they sometime feel like they're going to spasm) can mimic or cause acid reflux.
Thanks so much. Appreciate your time.

Answer
Dear Don,

Generic medications, by law, can be up to 20% more or less efficacious when compared to the brand name. Once there are two generic drugs, the second one out can be 20% more or less effective than the first generic. The more generic manufacturers for any given product, decreases in efficacy the farther and farther from the original brand name product. This information is available at the library. It is called the "Orange Book". The generic is obviously not working well for you. I recommend you pay the extra cost for the brand name and be sure your physician contacts the manufacturer and reports the lack of efficacy of the product.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

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I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

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Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

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Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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