Before meals, after meals, in between meals, and
while sleeping. The acid comes up into the back of my throat and
burns my throat
raw. I have a very hoarse voice all the time due to the acid reflux. I have been tried on other medications, but these are the ones on my insurance formulary that seem to work the best for me. I have had 2 upper endoscopies over the years, which did not show any issues. During both of those EGDs, I had dilatation of the esophagus.