I Have Horrible Reflux. It Is So Bad That I

I have horrible reflux. It is so bad that I cough all the time, especially after eating and at night when I go to bed. I have elevated my head I have tried just about everything with the exception of gargling peanut butter. I was prescribed Dexilant 60mg worked like a charm , but of course my insurance will not cover it until I try other medications I am taking Pantoprazole delayed release tablets 40mg once a day. That does not help but I increased it on my own to twice a day. My doctor is out of town but his PA said that is too much. Do you agree or disagree?