... also have a hernia. After my last scope three years ago I was advised to take nexium twice a day. A year later my drug plan no longer covered it so I started on the rabeprazole. Now this year my plan will only allow one pill a day and my DR says if I take it first thing in the morning on an empty stomach I should be fine. I am not! The pain is usually between 2 and 4AM. I don't eat after supper and have my bed raised about 4 inches at the top. Should I wait and take the pill with my supper? Can I take Zantac along with it perhaps at supper time or mid afternon? What about baking soda? Any other ideas would be helpful