{"id":22579,"date":"2026-11-06T12:00:13","date_gmt":"2026-11-06T11:00:13","guid":{"rendered":"https:\/\/www.gvperte.it\/?p=22579"},"modified":"2026-11-10T10:56:12","modified_gmt":"2026-11-10T09:56:12","slug":"acid-reflux-prazoles-work-but-its-best-not-to-overuse-them","status":"publish","type":"post","link":"https:\/\/www.gvperte.it\/en\/acid-reflux-prazoles-work-but-its-best-not-to-overuse-them\/","title":{"rendered":"Acid reflux: \u2018prazoles\u2019 work, but it\u2019s best not to overuse them"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"

We left off a while ago (https:\/\/www.gvperte.it\/non-e-tutto-reflusso-quel-che-brucia-come-si-fa-the-real-diagnosis\/)<\/a> with a diagnosis of gastro-oesophageal reflux disease \u2013 an endoscopic diagnosis, to be precise \u2013 and with the promise to discuss treatment with \u2018prazole\u2019 drugs, which all too often becomes routine and isn\u2019t always really necessary\u2026<\/p>\n

A gastroscopy can reveal various minor findings: most commonly erosions \u2013 a sort of \u2018scratch\u2019 on the lining of the oesophagus \u2013 sometimes ulcers or a ring of scar tissue in the oesophagus, or, not infrequently, just a bit of \u2018redness\u2019 on the walls of the oesophagus itself. To put it simply, these represent varying degrees of inflammation and, therefore, varying degrees of disease severity.<\/p>\n","protected":false},"author":89,"featured_media":22560,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"give_campaign_id":0,"footnotes":""},"categories":[2007],"tags":[3535,3533,3536,3532,3534,3301,3189],"class_list":["post-22579","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-green-salus","tag-backflow","tag-inflammation","tag-lifestyles","tag-oesophagus","tag-prazoles","tag-stomach","tag-therapy"],"acf":{"categoria":[2007],"categoria_source":{"label":"Category","type":"taxonomy","formatted_value":[{"term_id":2007,"name":"Green\/Salus","slug":"green-salus","term_group":0,"term_taxonomy_id":2007,"taxonomy":"category","description":"","parent":0,"count":54,"filter":"raw"}]},"sottotitolo_h2":"Prazoli: The advice is not to overdo it. In most cases, the symptoms and the condition of reflux can be managed with appropriate, but moderate, use of medication","sottotitolo_h2_source":{"label":"Subtitle","type":"text","formatted_value":"Prazoli: The advice is not to overdo it. In most cases, the symptoms and the condition of reflux can be managed with appropriate, but moderate, use of medication"},"immagini_principale":{"ID":22560,"id":22560,"title":"PrazoliBortoluzzi1","filename":"PrazoliBortoluzzi1.jpg","filesize":242065,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","link":"https:\/\/www.gvperte.it\/en\/acid-reflux-prazoles-work-but-its-best-not-to-overuse-them\/prazolibortoluzzi1-2\/","alt":"","author":"89","description":"","caption":"","name":"prazolibortoluzzi1-2","status":"inherit","uploaded_to":22579,"date":"2026-11-06 10:43:37","modified":"2026-11-10 09:56:12","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1203,"height":672,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1-768x429.jpg","medium-width":768,"medium-height":429,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1-768x429.jpg","medium_large-width":768,"medium_large-height":429,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","large-width":800,"large-height":447,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","1536x1536-width":1203,"1536x1536-height":672,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","2048x2048-width":1203,"2048x2048-height":672,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","mailpoet_newsletter_max-width":1203,"mailpoet_newsletter_max-height":672}},"immagini_principale_source":{"label":"Main images","type":"image","formatted_value":{"ID":22560,"id":22560,"title":"PrazoliBortoluzzi1","filename":"PrazoliBortoluzzi1.jpg","filesize":242065,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","link":"https:\/\/www.gvperte.it\/en\/acid-reflux-prazoles-work-but-its-best-not-to-overuse-them\/prazolibortoluzzi1-2\/","alt":"","author":"89","description":"","caption":"","name":"prazolibortoluzzi1-2","status":"inherit","uploaded_to":22579,"date":"2026-11-06 10:43:37","modified":"2026-11-10 09:56:12","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1203,"height":672,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1-768x429.jpg","medium-width":768,"medium-height":429,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1-768x429.jpg","medium_large-width":768,"medium_large-height":429,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","large-width":800,"large-height":447,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","1536x1536-width":1203,"1536x1536-height":672,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","2048x2048-width":1203,"2048x2048-height":672,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi1.jpg","mailpoet_newsletter_max-width":1203,"mailpoet_newsletter_max-height":672}}},"introduzione":"

We left off a while ago (https:\/\/www.gvperte.it\/non-e-tutto-reflusso-quel-che-brucia-come-si-fa-the-real-diagnosis\/)<\/a> with a diagnosis of gastro-oesophageal reflux disease \u2013 an endoscopic diagnosis, to be precise \u2013 and with the promise to discuss treatment with \u2018prazole\u2019 drugs, which all too often becomes routine and isn\u2019t always really necessary\u2026<\/p>\r\n

A gastroscopy can reveal various minor findings: most commonly erosions \u2013 a sort of \u2018scratch\u2019 on the lining of the oesophagus \u2013 sometimes ulcers or a ring of scar tissue in the oesophagus, or, not infrequently, just a bit of \u2018redness\u2019 on the walls of the oesophagus itself. To put it simply, these represent varying degrees of inflammation and, therefore, varying degrees of disease severity.<\/p>","introduzione_source":{"label":"Introduction","type":"wysiwyg","formatted_value":"

We left off a while ago (https:\/\/www.gvperte.it\/non-e-tutto-reflusso-quel-che-brucia-come-si-fa-the-real-diagnosis\/)<\/a> with a diagnosis of gastro-oesophageal reflux disease \u2013 an endoscopic diagnosis, to be precise \u2013 and with the promise to discuss treatment with \u2018prazole\u2019 drugs, which all too often becomes routine and isn\u2019t always really necessary\u2026<\/p>\n

A gastroscopy can reveal various minor findings: most commonly erosions \u2013 a sort of \u2018scratch\u2019 on the lining of the oesophagus \u2013 sometimes ulcers or a ring of scar tissue in the oesophagus, or, not infrequently, just a bit of \u2018redness\u2019 on the walls of the oesophagus itself. To put it simply, these represent varying degrees of inflammation and, therefore, varying degrees of disease severity.<\/p>\n"},"paragrafi_articolo":[{"titolo_paragrafo":"Almost like the Seven Dwarfs...","testo_paragrafo":"

Treatment, therefore, does not always have to be the same: symptoms and inflammation of the oesophagus can vary greatly and, consequently, so does their treatment.<\/p>\r\n

I\u2019ll spare you the details on healthy habits \u2013 we\u2019ve already covered them: eating small, frequent meals, being cautious with alcohol and smoking, staying active, and avoiding overindulging in certain \u2018troublesome\u2019 foods \u2013 but it\u2019s worth remembering that these alone already account for a large part of the treatment. \u2018Help yourself and God will help you\u2019, as the saying goes\u2026<\/p>\r\n

Let\u2019s talk instead about the famous \u2018prazoles\u2019, named after the final syllables of their names: omeprazole, pantoprazole, lansoprazole, rabeprazole, esomeprazole \u2013 almost like the dwarves\u2026 They are commonly, and incorrectly, referred to as \u2018gastroprotectants\u2019, but they do not actually protect the stomach, which, when healthy, protects itself. In reality, they reduce acid production, which, when excessive, can cause damage.<\/p>\r\n

They are among the most widely used (and abused) medicines in the world; when taken for the right reason, they work quickly and effectively: this is why people become attached to them and carry on taking them for years, even when they are no longer needed!<\/p>","multimedia":"immagine","video":null,"immagine_paragrafo":{"ID":22562,"id":22562,"title":"PrazoliBortoluzzi2","filename":"PrazoliBortoluzzi2.jpg","filesize":190796,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","link":"https:\/\/www.gvperte.it\/en\/acid-reflux-prazoles-work-but-its-best-not-to-overuse-them\/prazolibortoluzzi2-2\/","alt":"","author":"89","description":"","caption":"","name":"prazolibortoluzzi2-2","status":"inherit","uploaded_to":22579,"date":"2026-11-06 10:46:44","modified":"2026-11-10 09:56:12","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1024,"height":572,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2-768x429.jpg","medium-width":768,"medium-height":429,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2-768x429.jpg","medium_large-width":768,"medium_large-height":429,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","large-width":800,"large-height":447,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","1536x1536-width":1024,"1536x1536-height":572,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","2048x2048-width":1024,"2048x2048-height":572,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","mailpoet_newsletter_max-width":1024,"mailpoet_newsletter_max-height":572}},"didascalia":""},{"titolo_paragrafo":"Common misuse: how much and when to take medication","testo_paragrafo":"

There are, however, very few cases in which they must be taken continuously, and your doctor should advise you on these; for the most part, it is sufficient to take them for limited periods, ranging from 2 to 6\u20138 weeks, then gradually reduce the dose and eventually stop taking them. If, before or after that, the symptoms return, it\u2019s just another round \u2013 you\u2019ll always come out on top, as the medicine works regardless. Between \u2018flare-ups\u2019, for episodic symptoms, simple antacids or medicines that aid digestion (known as prokinetics), perhaps taken as and when needed, are usually sufficient.<\/p>\r\n

The recommendation, therefore, is not to overdo it: in most cases, the symptoms and reflux disease can be managed with appropriate, but moderate, use of medication \u2013 which, incidentally, is also good for the environment.<\/p>","multimedia":"immagine","video":null,"immagine_paragrafo":{"ID":22564,"id":22564,"title":"PrazoliBortoluzzi3","filename":"PrazoliBortoluzzi3.jpg","filesize":102556,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","link":"https:\/\/www.gvperte.it\/en\/acid-reflux-prazoles-work-but-its-best-not-to-overuse-them\/prazolibortoluzzi3-2\/","alt":"","author":"89","description":"","caption":"","name":"prazolibortoluzzi3-2","status":"inherit","uploaded_to":22579,"date":"2026-11-06 10:47:24","modified":"2026-11-10 09:56:12","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1024,"height":559,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3-768x419.jpg","medium-width":768,"medium-height":419,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3-768x419.jpg","medium_large-width":768,"medium_large-height":419,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","large-width":800,"large-height":437,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","1536x1536-width":1024,"1536x1536-height":559,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","2048x2048-width":1024,"2048x2048-height":559,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","mailpoet_newsletter_max-width":1024,"mailpoet_newsletter_max-height":559}},"didascalia":""}],"paragrafi_articolo_source":{"label":"Article Paragraphs","type":"repeater","formatted_value":[{"titolo_paragrafo":"Almost like the Seven Dwarfs...","testo_paragrafo":"

Treatment, therefore, does not always have to be the same: symptoms and inflammation of the oesophagus can vary greatly and, consequently, so does their treatment.<\/p>\n

I\u2019ll spare you the details on healthy habits \u2013 we\u2019ve already covered them: eating small, frequent meals, being cautious with alcohol and smoking, staying active, and avoiding overindulging in certain \u2018troublesome\u2019 foods \u2013 but it\u2019s worth remembering that these alone already account for a large part of the treatment. \u2018Help yourself and God will help you\u2019, as the saying goes\u2026<\/p>\n

Let\u2019s talk instead about the famous \u2018prazoles\u2019, named after the final syllables of their names: omeprazole, pantoprazole, lansoprazole, rabeprazole, esomeprazole \u2013 almost like the dwarves\u2026 They are commonly, and incorrectly, referred to as \u2018gastroprotectants\u2019, but they do not actually protect the stomach, which, when healthy, protects itself. In reality, they reduce acid production, which, when excessive, can cause damage.<\/p>\n

They are among the most widely used (and abused) medicines in the world; when taken for the right reason, they work quickly and effectively: this is why people become attached to them and carry on taking them for years, even when they are no longer needed!<\/p>\n","multimedia":"immagine","video":null,"immagine_paragrafo":{"ID":22562,"id":22562,"title":"PrazoliBortoluzzi2","filename":"PrazoliBortoluzzi2.jpg","filesize":190796,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","link":"https:\/\/www.gvperte.it\/en\/acid-reflux-prazoles-work-but-its-best-not-to-overuse-them\/prazolibortoluzzi2-2\/","alt":"","author":"89","description":"","caption":"","name":"prazolibortoluzzi2-2","status":"inherit","uploaded_to":22579,"date":"2026-11-06 10:46:44","modified":"2026-11-10 09:56:12","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1024,"height":572,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2-768x429.jpg","medium-width":768,"medium-height":429,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2-768x429.jpg","medium_large-width":768,"medium_large-height":429,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","large-width":800,"large-height":447,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","1536x1536-width":1024,"1536x1536-height":572,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","2048x2048-width":1024,"2048x2048-height":572,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi2.jpg","mailpoet_newsletter_max-width":1024,"mailpoet_newsletter_max-height":572}},"didascalia":""},{"titolo_paragrafo":"Common misuse: how much and when to take medication","testo_paragrafo":"

There are, however, very few cases in which they must be taken continuously, and your doctor should advise you on these; for the most part, it is sufficient to take them for limited periods, ranging from 2 to 6\u20138 weeks, then gradually reduce the dose and eventually stop taking them. If, before or after that, the symptoms return, it\u2019s just another round \u2013 you\u2019ll always come out on top, as the medicine works regardless. Between \u2018flare-ups\u2019, for episodic symptoms, simple antacids or medicines that aid digestion (known as prokinetics), perhaps taken as and when needed, are usually sufficient.<\/p>\n

The recommendation, therefore, is not to overdo it: in most cases, the symptoms and reflux disease can be managed with appropriate, but moderate, use of medication \u2013 which, incidentally, is also good for the environment.<\/p>\n","multimedia":"immagine","video":null,"immagine_paragrafo":{"ID":22564,"id":22564,"title":"PrazoliBortoluzzi3","filename":"PrazoliBortoluzzi3.jpg","filesize":102556,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","link":"https:\/\/www.gvperte.it\/en\/acid-reflux-prazoles-work-but-its-best-not-to-overuse-them\/prazolibortoluzzi3-2\/","alt":"","author":"89","description":"","caption":"","name":"prazolibortoluzzi3-2","status":"inherit","uploaded_to":22579,"date":"2026-11-06 10:47:24","modified":"2026-11-10 09:56:12","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1024,"height":559,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3-768x419.jpg","medium-width":768,"medium-height":419,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3-768x419.jpg","medium_large-width":768,"medium_large-height":419,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","large-width":800,"large-height":437,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","1536x1536-width":1024,"1536x1536-height":559,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","2048x2048-width":1024,"2048x2048-height":559,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/11\/PrazoliBortoluzzi3.jpg","mailpoet_newsletter_max-width":1024,"mailpoet_newsletter_max-height":559}},"didascalia":""}]},"parole_chiave":[],"parole_chiave_source":{"label":"Keywords.","type":"taxonomy","formatted_value":false},"autore_esterno":"Francesco Bortoluzzi","autore_esterno_source":{"label":"Autore Esterno","type":"text","formatted_value":"Francesco Bortoluzzi"}},"yoast_head":"\nAcid reflux: \u2018prazoles\u2019 work, but it\u2019s best not to overuse them - GVperTe<\/title>\n<meta name=\"description\" content=\"Proton pump inhibitors: it is best not to overuse them. 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