How Long Should You Take Medication for Reflux Esophagitis?

Reflux esophagitis treatment duration varies depending on individual conditions. In general, the active phase of treatment lasts about 4 to 8 weeks. After that, patients can choose to take medication as needed or continue with maintenance therapy based on their symptoms and medical evaluation.

Proton pump inhibitors (PPIs) are commonly prescribed for this condition, and while some individuals may notice relief from symptoms like acid reflux and heartburn within 2-3 days, it is crucial to complete the full course of treatment—typically at least 4 weeks—to allow proper healing of the esophageal mucosa, including any erosions or ulcers.

Many patients make the mistake of stopping medication once symptoms subside, thinking they are fully recovered. However, discontinuing treatment prematurely often leads to a relapse. Therefore, following the recommended treatment plan for 4-8 weeks is essential for long-term recovery.

For those suffering from severe reflux esophagitis, frequent relapses after stopping medication, or the presence of esophageal ulcers, maintenance therapy may be required for at least 8 weeks or longer. The goal of long-term management is to use the lowest effective dose that prevents symptoms from returning.

In mild cases, patients can consider stopping medication after 8 weeks. If heartburn or reflux symptoms reappear, taking medication on an as-needed basis is acceptable. This means resuming treatment only when symptoms occur, which helps manage flare-ups without continuous drug use.