For those of us who already had GERD and were on proton pump inhibitors like Prevacid or Prilosec, etc., we contacted our GI specialists about taking our GERD medication twice a day (these aren't regular antacids). I am currently on Prevacid and take it first thing in the AM with all meds EXCEPT Tecfidera. One hour later I have breakfast and then take my Tecfidera.
In the Evening I take my 2nd Prevacid 1 hour before eating my evening meal where I take my Tecfidera. At bedtime I take all my other PM meds.
Now this is not recommending or saying anyone has to be on a GERD medication. I already had (and some others did as well) severe GERD before taking Tecfidera, it was a matter of managing the GERD with taking other medications, not having an empty stomach (causing acidic situation in general overall) and taking another of my GERD medication 1 hour before the evening Tecfidera.
Now on Tecfidera for 4 months and not having any side effects, I have just finished 1 having my Tecfidera in the AM with a BOOST PLUS PROTEIN premade shake without any issues. I am not a big breakfast person, but did the protocol of the diet to take with the first Tecfidera a day as described in the start of this post I made until I felt I could try something different. In the beginning I lost weight, then started slowly gaining weight. I am now able to have salad and some type of meat, chicken pork at dinner with or without vegetables or fruits without any issues.
Once I finish 2 more weeks of gradually making the new changes with my diet I will be attempting to drop the evening GERD Medicine (the Prevacid I have been on for years).
RRMS diagnosed 2006
Tecfidera Started April 2013