Went to the Dr's for a follow up and he says to take omeprazole 20mg and famotidine 40mg once a day in the morning together on a empty for the next month to help heal the damage caused in stomach. After reading up a bit online it says it may be best to space out both doses to insure effectiveness.Applies to: Pepcid Complete (calcium carbonate / famotidine / magnesium hydroxide) and Crestor (rosuvastatin) Taking the rosuvastatin and magnesium hydroxide doses too close together may interfere with the absorption of rosuvastatin and reduce its effectiveness. To prevent or minimize the interaction, rosuvastatin and magnesium hydroxide dosing ...Mac only: If you need to rename a giant batch of files, changing each one individually is a huge hassle. NameChanger is a solid little tool that gets the job done fast. Mac only: I...Medically reviewed by Carmen Pope, BPharm. Last updated on June 20, 2022. Official answer. by Drugs.com. Yes, you could take omeprazole in the morning and famotidine at night but there are not many studies investigating this approach.Feb 1, 2016 · PPIs are appropriate for most stomach acid—related pathologies. The onset of action of PPIs is much longer than the 1-hour onset of H 2-receptor antagonists, such as famotidine (Pepcid). 1,2 On the other hand, neither PPIs nor H 2 blockers work as quickly as antacids such as Rolaids or Tums. There are certain situations and reasons for taking ... Can you take omeprazole and famotidine together? Yes. While most people find relief with just one medication, healthcare providers sometimes recommend taking both omeprazole and famotidine for severe symptoms.Applies to: Pepcid Complete (calcium carbonate / famotidine / magnesium hydroxide) and magnesium oxide. Using magnesium hydroxide together with magnesium oxide can lead to elevated magnesium blood levels, particularly in people with reduced kidney function. Symptoms of high magnesium levels may include nausea, vomiting, flushing, drowsiness ...In a study comparing the two drugs, maintenance therapy with omeprazole was associated with a lower rate of relapse than misoprostol, although the overall rates of successful treatment of ulcers, erosions, and symptoms associated with NSAIDs were similar for 20 mg omeprazole, 40 mg omeprazole, and misoprostol. 71 However, a …Pepcid is also useful in managing heartburn, gastroesophageal reflux disease ( GERD ), and Zollinger-Ellison syndrome. Pepcid and Prilosec belong to different drug classes. Pepcid (famotidine) is an H2-blocker and Prilosec is a proton pump inhibitor (PPI). Pepcid and Prilosec are available over-the-counter ( OTC) and in generic form.Increased Risk of Side Effects : Taking Pepto Bismol and Omeprazole together may increase the risk of certain side effects, such as constipation, nausea, and stomach discomfort. It is important to monitor your symptoms and consult your healthcare provider if you experience any adverse effects.Answer. There a minor drug interaction between H2 blockers and PPIs (proton pump inhibitors), but only in terms of their conflicting mechanisms of action. Due to how these medications work, using them at the same time could make them less effective (which is discussed below). However, using both together won't increase the risk of adverse effects.Now I have obtained a prescription both. I would like to try to wean myself off of the PPI and onto an H2 blocker again. Here is my plan: Alternate omeprazole 20 mg /day early am with famotidine 20 mg before breakfast and dinner for 14 days. Then alternate with PPI every 3rd day for 14 days. Then alternate with PPI every 4th day for 14 days.Protonix 40mg/2x. Reply reply. CaptM0rg. •. I take 60 MG dexilant and occasionally I'll take a 40 MG pepcid right before bed. (If I feel a bad reflux day sneaking up on me). The only side effect pepcid gives me is dizziness which is why if you take it right as you're about to go to sleep it's no biggie. Reply reply. cadaverousbones.Taking Gas X and Pepcid together can be a safe and effective way to address symptoms of gas, bloating, acid reflux, and heartburn. Gas X and Pepcid work in different ways to target different symptoms, making them compatible for simultaneous use. However, it is always important to consult with a healthcare professional before combining medications.1. When should I take an antacid vs. a Famotidine(Pepcid-AC) or Omeprazole (Prilosec)-like product? Let's start with the basics. Antacids neutralize excess stomach acid to relieve heartburn, sour ...Yes I was prescribed 20 mg Omeprazole in the day, 40mg famotidine (Pepcid) at night. I do recommend consulting with your general physician though about combining them, but generally it should be fine. I’m also combining under doctor’s prescription. Always good to check with doctor because certain health conditions can lead to reactions when ...meebj • 3 yr. ago. I take omeprazole in the AM and famotidine at night before bed. No side effects from either medication. The famotidine works better than the PPI and I’m coming up on day 28 of omeprazole. Plan to discontinue it altogether and just take Famotidine since the PPI has provided little to no relief. 1.A doctor has provided 1 answer. can you take prilosec and pepcid (famotidine) complete together?: Yes: But if having to take both you need to see your doctor and probab.omeprazole atorvastatin. Applies to: omeprazole and atorvastatin. Talk to your doctor before using atorvastatin together with omeprazole. Combining these medications may increase the blood levels and effects of atorvastatin. This can increase the risk of side effects such as liver damage and a rare but serious condition called rhabdomyolysis ... They can.: Although Prilosec and Pepcid can be taken at the same time, you may be better off using Tums or mylanta to get immediate relief of your acid while you are waiting for the Prilosec regimen to kick in. Those antacids will work more quickly than Pepcid will. The decision to attend Bible college can put you in an unusual situation when it comes to applying for and receiving grants and scholarships. Many Bible colleges are not accredited...Protonix 40mg/2x. Reply reply. CaptM0rg. •. I take 60 MG dexilant and occasionally I'll take a 40 MG pepcid right before bed. (If I feel a bad reflux day sneaking up on me). The only side effect pepcid gives me is dizziness which is why if you take it right as you're about to go to sleep it's no biggie. Reply reply. cadaverousbones.Ask a doctor or pharmacist before use if you are taking a prescription drug. Antacids and acid reducers may interact with certain prescription drugs. ... FAMOTIDINE (UNII: 5QZO15J2Z8) (FAMOTIDINE - UNII:5QZO15J2Z8) FAMOTIDINE: 10 mg: CALCIUM CARBONATE (UNII: H0G9379FGK) (CARBONATE ION - UNII:7UJQ5OPE7D) …Abstract. Objective. Prompt and long-standing acid control following once-daily administration of antisecretory drugs is desirable. The objective of this study was to determine whether co-administration of a well-characterized H 2-receptor antagonist, famotidine, can be combined with the proton-pump inhibitor omeprazole.Yes, you could take omeprazole in the morning and famotidine at night but there are not many studies investigating this approach. Preliminary results suggest that taking your medication this way may provide superior control of gastric acid secretion at night without compromising the effectiveness of omeprazole in the morning. More …No: Prilosec should be taken about an hour before eating anything, Pepcid (famotidine) can be taken almost any time. However it may be an overkill to take both at the same time since you would not likely get additional benefit from doing so. A doctor has provided 1 answer. This will make it easier for your body to absorb the medication. Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking metoprolol. Metoprolol is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely. New survey finds that Millennials are putting more money into 529 plans for their children's college education than other generations. By clicking "TRY IT", I agree to receive news...omeprazole Pepcid Complete (calcium carbonate/famotidine/magnesium hydroxide) Note: In certain circumstances, the benefits of taking this combination of drugs may …Answer. While you mentioned two specific drugs in your inquiry, bupropion and Buspar ( buspirone ), I will broaden the topic to whether or not any drug is known to interact with the dietary supplement IBgard since that will be pertinent to any of our readers who wish to take it. I will focus only on the potential for IBgard to cause drug ...Prilosec, containing the active ingredient omeprazole, is a PPI. Like Nexium, it works by decreasing acid in the stomach. Prilosec is available both OTC and by prescription. As with OTC Nexium, OTC Prilosec is also used for short-term treatment of frequent indigestion or heartburn two or more times per week.Prilosec works better for longer-lasting relief, whereas Pepcid kicks in faster but may not be as effective long term. Still, everyone responds differently to drugs, and a medical provider can determine which one is best for long-term treatment of GERD, reflux, or other conditions. A small study of 98 people compared Pepcid and Prilosec for the ...Applies to: Mylanta (aluminum hydroxide / magnesium hydroxide / simethicone) Citrate, or citric acid, can increase the absorption of aluminum hydroxide. This may lead to elevated blood levels of aluminum, particularly in individuals with reduced kidney function, since aluminum is primarily eliminated by the kidneys.Feb 28, 2023 · Take with a glass of water and take the exact dosage as directed on the packet (self-medicating) or by your doctor (prescribed). Should only be taken for short periods. If you feel you need to keep taking famotidine, talk with your doctor. Antacids may be taken alongside famotidine if needed for gastric-acid-associated pain. Results: A combination of famotidine and omeprazole raised the gastric pH level to >4 in less than 1 h. The percentage of daytime with pH > 4 on day 1 was significantly higher …Talk to your doctor before using simvastatin together with omeprazole. Combining these medications may increase the blood levels and effects of simvastatin. This can increase the risk of side effects such as liver damage and a rare but serious condition called rhabdomyolysis that involves the breakdown of skeletal muscle tissue.Jul 31, 2018 ... ... you take, to decide whether they are still necessary. It is very often the case that people are taking medications for unclear reasons, and ...PPIs are appropriate for most stomach acid—related pathologies. The onset of action of PPIs is much longer than the 1-hour onset of H 2-receptor antagonists, such as famotidine (Pepcid). 1,2 On the other hand, neither PPIs nor H 2 blockers work as quickly as antacids such as Rolaids or Tums. There are certain situations and reasons for taking ...Can you take omeprazole and famotidine together? Yes. While most people find relief with just one medication, healthcare providers sometimes recommend taking both omeprazole and famotidine for severe symptoms.Do not smoke cigarettes or drink alcohol. These cause irritation in your stomach and can increase the time it will take for ulcers to heal. If you get black, ...View drug interactions between famotidine and Tagamet HB. These medicines may also interact with certain foods or diseases. ... This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also be unintentional in cases where a patient has been treated by more than one doctor ...Mounjaro Interactions. There are 397 drugs known to interact with Mounjaro (tirzepatide), along with 5 disease interactions, and 3 alcohol/food interactions. Of the total drug interactions, 2 are major, 394 are moderate, and 1 is minor.Famotidine and ibuprofen is a combination drug. Ibuprofen treats the symptoms of arthritis. Famotidine helps reduce the risk of ulcers in the stomach or intestines that can be caused by long-term use of ibuprofen. Taking famotidine (Pepcid) and ibuprofen (Advil, Motrin) together does not have the same effect as using the combination medicine.Drug interactions are reported among people who take Famotidine and Xanax. Common interactions include renal failure among females, and pain among males. The phase IV clinical study analyzes what interactions people have when they take Famotidine and Xanax together. It is created by eHealthMe based on 1,029 reports from the FDA, and is …View drug interactions between famotidine and pantoprazole. These medicines may also interact with certain foods or diseases. ... This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also be unintentional in cases where a patient has been treated by more than one doctor ...Protonix 40mg/2x. Reply reply. CaptM0rg. •. I take 60 MG dexilant and occasionally I'll take a 40 MG pepcid right before bed. (If I feel a bad reflux day sneaking up on me). The only side effect pepcid gives me is dizziness which is why if you take it right as you're about to go to sleep it's no biggie. Reply reply. cadaverousbones.Looking for a coworking space in Australia? Check out our list of the best. Trusted by business builders worldwide, the HubSpot Blogs are your number-one source for education and i...PPIs like Prilosec work to decrease stomach acid. If I had a routine I'd take Prilosec first thing am. Go shower brush etc and down the carafate. Wait 20-30 min then eat. See how it affects you. If you get worse increase the spacing between carafate and food. Id also consider adding on otc gaviscon.Applies to: famotidine and hydroxyzine. Using famotidine together with hydrOXYzine can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a relatively rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac ...Summary: Drug interactions are reported among people who take Famotidine and Gaviscon. Common interactions among females include arthritis and infusion site erythema. Common interactions among males include chronic kidney disease and renal failure. The phase IV clinical study analyzes what interactions people have when they take …It is recommended to use famotidine in combination with Tums to help with symptom relief of heartburn. The last medication to consider if all options fail is a proton pump inhibitor (PPI) in combination with antacids. However, you should avoid Prilosec (omeprazole) in pregnancy because there is a risk of toxicity.Can You Take Pepcid and Omeprazole Together How Does Pepcid Work? Pepcid, also known as famotidine, is a medication that belongs to a class of drugs called H2 blockers. These medications work by blocking histamine receptors in the stomach, which reduces the production of stomach acid.You can buy famotidine and nizatidine without a prescription from pharmacies. In general, proton pump inhibitors (PPIs) like esomeprazole are used first because they are better than H2 blockers at reducing stomach acid. But if a PPI does not work or causes side effects, your doctor may prescribe a H2 blocker. ... omeprazole; pantoprazole ... Yes, you could take omeprazole in the morning and famotidine at night but there are not many studies investigating this approach. Preliminary results suggest that taking your medication this way may provide superior control of gastric acid secretion at night without compromising the effectiveness of omeprazole in the morning. More research is ... Specializes in Pediatrics. Should be ok if...: If a person had no problems taking Pepcid AC in the recent past for some medical condition, and separately had no problem taking Pepto-Bismol in the recent past, then she should be ok taking the medications at the same time. If worried, she can ask her doctor who prescribed the medications.Pepcid (generic name famotidine) belongs to a class of drugs called H2 blockers, which help reduce the production of stomach acid. On the other hand, Prilosec (generic name …Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In …You should start to feel better within 2 to 3 days, but it may take up to 4 weeks for omeprazole to work fully. You may still have some acid symptoms during this time. If you treated yourself with omeprazole that you bought from a pharmacy and your symptoms are no better after 2 weeks, tell your doctor.The Insider Trading Activity of Walburger Corbin on Markets Insider. Indices Commodities Currencies StocksFamotidine and ibuprofen is a combination drug. Ibuprofen treats the symptoms of arthritis. Famotidine helps reduce the risk of ulcers in the stomach or intestines that can be caused by long-term use of ibuprofen. Taking famotidine (Pepcid) and ibuprofen (Advil, Motrin) together does not have the same effect as using the combination medicine.Gas is one of the known side effects of omeprazole, according to MedlinePlus. Gas in the abdomen sometimes causes temporary bloating, states WebMD, so the gas associated with omepr...Nonprescription. FAQs. Takeaway. For occasional heartburn, you might want to take famotidine (Pepcid) at least 15 minutes before eating. But the best time to take famotidine depends on the cause ...Do not drink alcohol while taking ALPRAZolam. This medication can increase the effects of alcohol. You may feel more drowsy, dizzy, or tired if you take ALPRAZolam with alcohol. Talk to your doctor or pharmacist if you have any questions or concerns. Switch to professional interaction data.With lansoprazole 30 mg twice daily, the median of 24-h intragastric pH in poor metabolizers (6.1) was significantly higher than those of rapid extensive metabolizers (4.5) and intermediate metabolizers (5.0), respectively (P = 0.0176 and 0.0388), whereas with lansoprazole 30 mg twice and famotidine 20 mg twice daily, the medians were 5.4, 5.7 ...Can You Take Pepcid and Omeprazole Together How Does Pepcid Work? Pepcid, also known as famotidine, is a medication that belongs to a class of drugs called H2 blockers. These medications work by blocking histamine receptors in the stomach, which reduces the production of stomach acid. Histamine is a chemical that stimulates acid secretion in ...The risk of interactions with omeprazole... more. Famotidine has an average rating of 4.3 out of 10 from a total of 170 ratings on Drugs.com. 33% of reviewers reported a positive effect, while 58% reported a negative effect. Omeprazole has an average rating of 4.6 out of 10 from a total of 491 ratings on Drugs.com. 32% of reviewers reported a ...May 1, 2024 · Read and follow these instructions carefully. Ask your doctor if you have any questions. Take omeprazole capsules or delayed-release capsules before a meal, preferably in the morning. Omeprazole tablets may be taken with food or on an empty stomach. Take omeprazole powder for oral suspension on an empty stomach at least 1 hour before a meal. Oct 24, 2023 · Famotidine and ibuprofen is a combination drug. Ibuprofen treats the symptoms of arthritis. Famotidine helps reduce the risk of ulcers in the stomach or intestines that can be caused by long-term use of ibuprofen. Taking famotidine (Pepcid) and ibuprofen (Advil, Motrin) together does not have the same effect as using the combination medicine. Applies to: Pepcid Complete (calcium carbonate / famotidine / magnesium hydroxide) and Crestor (rosuvastatin) Taking the rosuvastatin and magnesium hydroxide doses too close together may interfere with the absorption of rosuvastatin and reduce its effectiveness. To prevent or minimize the interaction, rosuvastatin and magnesium hydroxide dosing ...Clinical Trials as Topic. Drug Therapy, Combination. Gastroesophageal Reflux / drug therapy*. H (+)-K (+)-Exchanging ATPase / administration & dosage. Histamine H2 Antagonists / therapeutic use*. Humans. Hydrogen-Ion Concentration. Omeprazole / administration & dosage. Omeprazole / therapeutic use.538 people who take Flecainide acetate and Omeprazole together, and have interactions are studied. ... You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. ... Omeprazole and Famotidine: 7,719 reports; Omeprazole and Famvir: 165 reports; Omeprazole and Farxiga: ...Mounjaro Interactions. There are 397 drugs known to interact with Mounjaro (tirzepatide), along with 5 disease interactions, and 3 alcohol/food interactions. Of the total drug interactions, 2 are major, 394 are moderate, and 1 is minor.If you received payment from a person or company via money order, you likely cashed the money order soon after you received it. However, if you have an old money order, you may won...The basic structure of an atom is made up of neutrons, protons and electrons, and its atomic number is calculated by adding up the number of protons and neutrons in the atom's nucl...meebj • 3 yr. ago. I take omeprazole in the AM and famotidine at night before bed. No side effects from either medication. The famotidine works better than the PPI and I’m coming up on day 28 of omeprazole. Plan to discontinue it altogether and just take Famotidine since the PPI has provided little to no relief. 1.Omeprazole inhibits the activity of the proton pump, effectively reducing acid production to a greater extent than H2 blockers like Pepcid. When you take omeprazole, it enters the bloodstream and reaches the acid-producing cells in the stomach lining. Inside these cells, omeprazole undergoes a chemical reaction, transforming into its active form.Certainly: Allegra (fexofenadine) is an antihistamine used to treat allergies and Omeprazole is a proton-pump inhibitor used to treat acid reflux. They are safe to take together. You probably want to space them out a little, though. Omeprazole should be taken on an empty stomach. Yes, you can: There is no known drug interaction between ...The meta-analysis compared relative risks, using omeprazole 20 mg as the control group, for pantoprazole 40 mg, lansoprazole 30 mg, rabeprazole 20 mg, and esomeprazole 40 mg. 15 The only significant difference when comparing relative risk for endoscopic healing at 4 weeks for GERD (based on 40 study arms) was that 40 mg of esomeprazole (64 mg OE) …Aug 17, 2022 · When taken together, St. John’s wort can cause your liver to break down more omeprazole than usual. This can result in less omeprazole in your body, meaning it may not work as well. So, it’s recommended to avoid this combination. 7. Transplant medications. Transplant medications are vital if you’ve had an organ transplant. famotidine. A total of 298 drugs are known to interact with famotidine . Famotidine is in the drug class H2 antagonists . Famotidine is used to treat the following conditions: Allergic Urticaria (off-label) Cutaneous Mastocytosis. Duodenal Ulcer.
Answer. There a minor drug interaction between H2 blockers and PPIs (proton pump inhibitors), but only in terms of their conflicting mechanisms of action. Due to how these medications work, using them at the same time could make them less effective (which is discussed below). However, using both together won't increase the risk of adverse effects.. Muscle morphing
Will it affect my contraception? Can I drive or ride a bike? Can I drink alcohol while taking esomeprazole? Is there any food or drink I need to avoid? Can lifestyle changes help …Summary: Drug interactions are reported among people who take Pepcid ac and Omeprazole. Common interactions among females include insomnia and weight decreased. Common interactions among males include chronic kidney disease and renal failure. The phase IV clinical study analyzes what interactions people have when they take Pepcid …May 4, 2021 · No: Prilosec should be taken about an hour before eating anything, Pepcid (famotidine) can be taken almost any time. However it may be an overkill to take both at the same time since you would not likely get additional benefit from doing so. A doctor has provided 1 answer. Applies to: omeprazole and Lexapro (escitalopram) Omeprazole may increase the blood levels and effects of escitalopram. You may have an increased risk of developing side effects, including irregular heart rhythm and a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure ...omeprazole; Pepcid AC (famotidine) Edit list (add/remove drugs) Consumer; Professional; ... This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also be unintentional in cases where a patient has been treated by more than one doctor, or had prescriptions filled at more ... Yes I was prescribed 20 mg Omeprazole in the day, 40mg famotidine (Pepcid) at night. I do recommend consulting with your general physician though about combining them, but generally it should be fine. I’m also combining under doctor’s prescription. Always good to check with doctor because certain health conditions can lead to reactions when ... Yes, you can take Omeprazole in the morning and Famotidine at night. Omeprazole is a proton pump inhibitor which controls stomach acid secretion (1). Famotidine, on the other hand, is an H2 receptor blocker which also manages stomach acidity (2). Taking these two medications on the same day is absolutely okay and there are no known interactions ... Yes, you could take omeprazole in the morning and famotidine at night but there are not many studies investigating this approach. Preliminary results suggest that taking your medication this way may provide superior control of gastric acid secretion at night without compromising the effectiveness of omeprazole in the morning. More research is ... Results. 278 patients were recruited; 120 were included in the Gaviscon ® group and 121 in the omeprazole group for the per protocol non-inferiority analysis. The mean time to onset of the first 24-h heartburn-free period after initial dosing was 2.0 (± 2.2) days for Gaviscon ® and 2.0 (± 2.3) days for omeprazole (p = 0.93); mean intergroup …It takes about 30 minutes for omeprazole to start inhibiting acid pumps, which is why it is recommended to be taken 30 minutes before food (you want those pumps inhibited before food stimulates acid release!). So, overall: Take omeprazole 30 minutes before or 2 hours after sucralfate to best avoid an interaction.It takes about 30 minutes for omeprazole to start inhibiting acid pumps, which is why it is recommended to be taken 30 minutes before food (you want those pumps inhibited before food stimulates acid release!). So, overall: Take omeprazole 30 minutes before or 2 hours after sucralfate to best avoid an interaction.It takes about 30 minutes for omeprazole to start inhibiting acid pumps, which is why it is recommended to be taken 30 minutes before food (you want those pumps inhibited before food stimulates acid release!). So, overall: Take omeprazole 30 minutes before or 2 hours after sucralfate to best avoid an interaction.Taking PPIs and H2 blockers like Pepcid together can help for some conditions. But there is a minor interaction between PPIs and H2 blockers. This happens because of the way each drug works. Both reduce stomach acid. But they do it in different ways. H2 Blockers Include: Pepcid (famotidine) Zantac (rantidine) (withdrawn from market in April 2020)Nonprescription. FAQs. Takeaway. For occasional heartburn, you might want to take famotidine (Pepcid) at least 15 minutes before eating. But the best time to take famotidine depends on the cause ...Specializes in Internal Medicine - Gastroenterology. Wait some time: Prilosec is a delayed-release proton pump inhibitor that needs an acid stimulus to activate it. A meal would do that. Taking Pepcid (famotidine) too close to Prilosec may decrease the latter's effectiveness. Answered 1/28/2021.Dec 15, 2023 · Prilosec and Pepcid work by reducing the production of stomach acid, which in turn relieves symptoms of acid reflux. Prilosec contains omeprazole, while Pepcid’s active ingredient is famotidine. You can purchase both active ingredients as generic medications. Omeprazole and famotidine are also available as prescription medications with higher ... Can I take omeprazole and famotidine together? There are no drug interactions between omeprazole and famotidine. In some cases, omeprazole and famotidine may be used together on a daily basis. While PPIs are usually sufficient to treat digestive disorders like GERD, some people may need extra treatment to manage and control acid production at ....