Reasons for the use of combined PPI and alginate-antacids

Increase in the onset of action

Better control of the disease

Persistence of symptoms

Decrease in nocturnal acid breakthrough

I do not use this combination

To avoid increase in PPI doses

Other

Symptoms

Heartburn

501 (33.6)

311 (20.9)

212 (14.2)

210 (14.1)

92 (6.2)

58 (3.9)

107 (7.2)

Regurgitation

208 (14.0)

348 (23.3)

188 (12.6)

358 (24.0)

137 (9.2)

88 (5.9)

164 (11.0)

Distention

136 (9.1)

377 (25.3)

198 (13.3)

47 (3.2)

376 (25.2)

56 (3.8)

301 (20.2)

Epigastric pain

377 (25.3)

423 (28.4)

202 (13.5)

124 (8.3)

150 (10.1)

76 (5.1)

139 (9.3)

Gastroesophageal diseases

Nonerosive GERD

452 (30.3)

306 (20.5)

169 (11.3)

166 (11.1)

142 (9.5)

91 (6.1)

165 (11.1)

Erosive GERD (esophagitis)

259 (17.4)

457 (30.7)

183 (12.3)

221 (14.8)

98 (6.6)

101 (6.8)

172 (11.5)

Peptic ulcer disease

199 (13.3)

573 (38.4)

216 (14.5)

126 (8.5)

132 (8.9)

99 (6.6)

146 (9.8)

Helicobacter pylori infection

132 (8.9)

482 (32.3)

153 (10.3)

73 (4.9)

318 (21.3)

64 (4.3)

269 (18.0)

NSAIDs gastropathy

273 (18.3)

421 (28.2)

182 (12.2)

67 (4.5)

205 (13.7)

67 (4.5)

276 (18.5)

Non-ulcer dyspepsia

219 (14.7)

389 (26.1)

218 (14.6)

81 (5.4)

247 (16.6)

78 (5.2)

259 (17.4)