Heartburn Medication: What Works, What Doesn't, and How to Choose

Heartburn isn’t just annoying—it can ruin a good meal and mess up your whole day. If you’ve ever tried to sleep with that burning feeling moving up your chest, you know the struggle is real. Picking the right heartburn medication can be confusing. All the options on pharmacy shelves look the same, but they don’t work the same way.

So, what actually gives you relief? Over-the-counter antacids like Tums and Rolaids are the fastest solution for most people. Pop a chewable when you feel that sting, and it neutralizes stomach acid in minutes. These are perfect for occasional flare-ups or when you know you’ve overdone it with spicy foods.

If you need something more long-term, H2 blockers (think famotidine or ranitidine) step up the game. They don’t kick in instantly like antacids, but once they settle in your system, they can keep acid down for up to 12 hours. Folks who know certain foods always set them off often take one before dinner to dodge problems altogether.

When heartburn won’t quit or comes back several times a week, doctors usually point to proton pump inhibitors (like omeprazole or lansoprazole). These meds cut acid production at the source. They take a day or two to start working, but they’re reliable for stubborn, chronic symptoms. Just don’t expect overnight magic—these are for regular users, not a quick rescue.

But here’s the real talk: not all heartburn is the same, and what works for one person might not do squat for another. Some people only need a few Tums after a chili night, while others live with daily reflux and need prescription help. If you’re popping antacids like candy, it might be time for a doctor visit. Persistent, untreated heartburn can mess with your esophagus and cause worse health issues.

Watch out for side effects too. Antacids can cause constipation or diarrhea. H2 blockers and PPIs—if you use them long-term—sometimes lead to headaches, vitamin shortages, or gut infections. If you feel weird, switch meds or check with your doctor.

The secret weapon for many? Simple lifestyle changes. Eating smaller meals, not lying down after eating, cutting back on caffeine and alcohol, or losing a little weight can make a massive difference. Meds are only part of the fix.

Still stumped on which heartburn medication to try? Make a quick note of when your heartburn hits and what you ate before. Bring that info to your pharmacist or doctor—they’ll zero in on what might help fastest. You don’t have to keep suffering in silence. Get control today and enjoy your meals again without the burn.