People have no idea with PPIs here either. I work in a hospital and so often I hear the patients saying they have terrible hearburn when they’re on PPIs. The problem is that the med isn’t being given correctly- just given any time irrespective of when they’ve eaten.
You have no choice but to use the capsules for the CaraCream. The instructions are all based on the capsules. When you go get the caracream, make sure that they’re for 15mg capsules (or 30, if that’s what you’re using). They first told me to add 8 capsules, not realizing that ours were 15mg instead of 30, so Hailey wasn’t getting enough medication.