I am currently on 40 mg of prescribed Protinix daily, about a year ago I had to go to the ER coughing and throwing up alot of blood, I have had acid reflux for years mainly from a gainers diet, I tried Prilosec for a long time but I have to have discipline with my diet now , no spicy food no eating 2 hours before bed time. they went down my throat with a camera twice found nothing. I don't think it's the riods cousing your problems with your GI, but the high blood pressure can cause a heart attack! no matter what you need to fix your diet. hope this helps and good luck