Heartburn Drugs Safe?

Heartburn drugs OK for short term, but risks remain

Mar 25, 2011 12:46 PM

The over-the-counter drugs Prilosec and Prevacid are safe when taken short term, according to an annoucement this week from the U.S. Food and Drug Administration. But many people take the drugs long-term, increasing their risk of fractures.

The FDA said that OTC proton-pump inhibitors don't pose a fracture risk when they're taken for less than 14 days, three times a year. However, taking the drugs longer or more often does increase those risks, especially when taken for a year or longer.

That's why we say consumers should exercise caution when using the drugs to treat heartburn orgastroesophageal reflux disease (GERD).

Over-the-counter doses of PPI medicines should be:


  • Omeprazole (found in Prilosec OTC and others) — 20 mg tablet (Once a day for no more than 14 days. The 14-day course may repeated every 4 months.)
  • Lansoprazole (Prevacid 24HR) — 15 mg tablet (Once a day for no more than 14 days. The 14-day course may repeated every 4 months.)

Type 2 Diabetes – Actos

Type 2 diabetes can be managed with diet, medication or both. Actos is a popular medication that is used to control type 2 diabetes, but it comes with a warning.

The Food and Drug Administration approved generic versions of the type 2 diabetes medication Actos (pioglitazone) type-2-diabeteslast week. But we say skip Actos as both a generic and brand-name medication, unless other options have not worked. Pioglitazone can cause serious side effects, such as an increased risk of heart failure, bone fractures, and bladder cancer. Other medications to treat diabetes, such as metformin, are a better first choice.

For those who must take it, only three manufacturers are currently allowed to make the generic formulations of Actos for the next six months, so the price will likely stick close to the brand-name version, which can run an average of $377 for a prescription, if you pay the retail price. Once more manufacturers are approved to produce it, the price of generic Actos will begin to drop.

Bottom Line: Our medical advisers say that people with diabetes should use pioglitazone, generic or brand-name Actos, only as a last resort. If you’re on the drug, ask your doctor if it’s absolutely necessary and if you should switch to another drug. Our Consumer Reports Best Buy Drug recommendation is the drug metformin, either alone or with glipizide or glimepiride, for most people with type 2 diabetes, combined with a healthy diet, regular exercise, and losing excess weight. Those three generic medications can be usually found on the discount $4 generic drug lists at the pharmacy of most chain stores such as Kroger, Target and Walmart, and may be purchased for as little as $10 for a three-month supply.

Consumer Reports, Avoid Actos for treatment of type 2 diabetes, August 2012

Georgia seniors with type 2 diabetes can qualify for a low cost Medigap plan in many cases. Get an instant, FREE Medigap quote by following this link to savings.