My dog has an ulcer & acid reflux. Is Omeprazole better than Pepcid?

YEs, fewer signs fo nausea/discomfort and less burping wpuld be an indication that the treatment is working. Ensuring he eats slowly by using a slow feeder or scattering his food over a wide tray or plate so he has to work harder for it can also be helpful in improving overall digestion.

In the long term, there is a thought the chronic famotidine use may decrease some nutrient absorption and lead to excessive gastric acid production with possible esophageal acid reflux if it is discontinued. However, most internal medicine specialists still preferentially recommend famotidine over other antacids (such as omeprazole/Prilosec) for chronic use as it is a bit more "mild" in its mechanism of action. I know you mentioned changing foods, but consider discussing a diet trial with a hydrolyzed "hypoallergenic" diet with Brody's vet. If he has a degree of a food allergy or inflammatory bowel disease causing his vomiting and skipping of meals, these hydrolyzed diets fed for 2-3 months can remove a lot of antigenic stimulation in the GI tract and potentially prevent a lot of GI upset.

Hypothetically speaking , yes. However, I don't think we see if that often. If you are concerned your dog has gastric reflux, talk to your vet about a trial on famotidine. (Pepcid AC). See here for dosing information: (click on the chart for full view of drugs and dosages) https://www.merckvetmanual.com/pharmacology/systemic-pharmacotherapeutics-of-the-digestive-system/therapy-of-gastrointestinal-ulcers-monogastric

Pepcid-ac (generic = famotidine) can be used. You can ask your veterinarian for a specific dose recommendation for Zeus (we're not allowed to recommend specific doses since we haven't actually examined your pup).

Yes it is correct, slightly higher than the recommended one but it is absolutely fine. I would not be worried at all about it. Please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further.

Hello, sorry to hear about Pablo. In dogs that have a GI ulcer that has perforated, they typically require surgery to remove the abnormal portion of the stomach or small intestine. However, if he has not perforated, then considering medications such as with omeprazole and other gastro-protectants is adequate. Hope this helps and best of luck.

Omeprazole is a powerful antacid that blocks acid production in the stomach to protect the gastrointestinal tract against ulcers. However, in occasional cases, it can cause a loss of appetite, vomiting or diarrhea. There is a chance that Spock may be feeling nauseous due to the omeprazole and is not eating due to nausea. Unfortunately, since I have not personally examined Spock, I am legally unable to provide you with precise dosing instructions and must instruct you to follow your vet's prescription. Be sure to call your vet first thing in the morning so that they can adjust Spocks antacid dosing or switch to a different medication. I hope that all goes well!