Questionnaire - Page 8(c) of 9
(1014 maximum possible questions)
Last updated: May 12, 2008

THE ANALYST TM
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This section deals with antacid use during the past 2 years.
890.  Have you used calcium-based antacids? Examples include Tums and Rennies.
No / don't know
Minor use in the past only
Significant use in the past only
Currently using, for up to 6 months
Currently using, for more than 6 months
891.  Have you used magnesium-based antacids? Examples include Maalox, Mylanta, Milk of Magnesia and Citroma.
No / don't know
Minor use in the past only
Significant use in the past only
Currently using, for up to 6 months
Currently using, for more than 6 months
892.  Have you used aluminum-based antacids? Examples include Maalox and Mylanta.
No / don't know
Minor use in the past only
Significant use in the past only
Currently using, for up to 6 months
Currently using, for more than 6 months
893.  Have you used bicarbonate-based antacids? An example is Alka Seltzer.
No
Minor use int the past only
Significant use in the past only
Regular use, for up to 6 months
Regular use, for more than 6 months
894.  Have you used H2 blockers such as Tagamet, Pepcid or Zantac?
No / don't know
Minor use in the past
Significant use in the past
Currently using, for up to 6 months
Currently using, for over 6 months
895.  Have you used proton pump inhibitors (PPIs) such as Prilosec (omeprazole - Nexium) or Prevacid (lansoprazole - Zoton)?
No / don't know
Minor use in the past
Significant use in the past
Currently using for up to 6 months
Currently using for over 6 months

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GLOSSARY

Antacid:  Neutralizes acid in the stomach, esophagus, or first part of the duodenum.

H2 Blockers:  Medications in this family sharply decrease stomach acid production. They are widely used for the treatment of ulcers as well as for mild cases of esophageal reflux (heartburn). Drugs that fall into this family include cimetidine (Tagamet, Tagamet HB); famotidine (Pepcid, Pepcid AC, Pepcid RPD); nizatidine (Axid, Axid AR); ranitidine hydrochloride (Zantac, Zantac EFFERdose, Zantac GELdose, Zantac 75).



 


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