Dr. Cynthia Pikey is a clinical pharmacologist practicing in Park Hills, Missouri. Dr. Pikey specializes in developing and testing new pharmaceutical products, with specific focus on the correlation between drugs and diseases. Clinical pharmacologists optimize drug prescribing and prevent medication errors as well as contribute to new drug applications delivered to the FDA.
Education and Training
St Louis College of Pharmacy PharmD 1999
Cynthia M. Pikey, PharmD's Expert Contributions
It really depends on how often you are having heartburn and when you are going to take the medication. If you have heartburn less than 3-4 times a week it is fine to use Zantac or the generic ranitidine. This medication can be used even after you experience symptoms of heartburn to give you some relief. And if you take it before you have heartburn it works better. For example, tonight is taco night and you always get heartburn, take the Zantac before starting supper or heading to the restaurant to minimize or prevent the heartburn. If you have heartburn daily and you are going to take the medication every day, then you can use Nexium. The difference is that Nexium blocks more acid from being produced. But if you wait until you feel the heartburn, that acid is already there in your stomach. You can’t block it and Nexium doesn’t neutralize the acid. The problem though with taking something everyday to block acid if you don’t have heartburn often, is that we need acid in our stomach to digest food. Without the stomach acid, the food doesn’t break down well, we can’t absorb the nutrients, and that leads to a lot of other problems. So even with heartburn daily, I recommend starting with Zantac. And then using the Zantac daily to get better relief. If you have only occasional heartburn, once in awhile, or you forget to take you medication daily or before you ate...take a Tums or Rolaid, or any other chewable antacid. These neutralize acid and don’t rely on “blocking” to work. They offer quick relief often within minutes. Again, if you need them daily, it is time to consider Zantac. If you’ve tried this system and the pain worsens or becomes more constant, see your doctor for a full workup to be sure you don’t have an ulcer or another problem that requires medical attention. READ MORE
Professional Society Memberships
What do you attribute your success to?
- A desire to care for people
Cynthia M. Pikey, PharmD's Practice location
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Get to know Clinical Pharmacologist Dr. Cynthia M. Pikey, who serves patients in Park Hills, Missouri.
Dr. Pikey is a clinical pharmacologist who is currently serving patients in Park Hills, Missouri. She has broad experience in community retail pharmacy and clinical home infusion. She is also skilled in patient counseling and education, patient advocacy, medication therapy management, as well as medication compounding and administration.
Dr. Pikey received her Doctor of Pharmacy (PharmD) degree from the St. Louis College of Pharmacy in 1998.
Dr. Pikey is certified in Basic Life Support by the American Red Cross. She also holds certifications in Pain Management and Pharmacy-Based Immunization Delivery by the APhA Foundation.
Clinical pharmacology is the science of drugs in humans and their optimal clinical use in patients. It is underpinned by the basic science of pharmacology, with an added focus on the application of pharmacological principles and quantitative methods in the real human patient population. Clinical pharmacologists, like Dr. Pikey, are doctors with training in clinical pharmacology and therapeutics (CPT), which is the science of medicines and their clinical use. Their main role is to improve patient care through the safe, economic and effective use of medicines.
Dr. Pikey is Den Leader, Committee Training Chair, and Assistant Scoutmaster of the Boy Scouts of America. The Boy Scouts of America is the largest scouting organization and one of the largest youth organizations in the United States, with about 2.3 million youth participants and about one million adult volunteers.
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