Proton pump inhibitors

What you need to knowDiscuss with patients the importance of lifestyle modification for the long term management of acid reflux disordersDiscuss with patients that a prescription may be stopped even if it has improved symptomsSide effects of PPIs include gastrointestinal disturbance, higher rate of fractures, and increased susceptibility to Clostridium difficile infectionReview new prescriptions of proton pump inhibitors (PPIs) at four weeks, and regularly thereafter, assessing for improvement in symptoms and quality of lifeA 42 year old man visits his general practitioner with a three month history of intermittent nausea and central chest discomfort, particularly after fatty and sweet meals. He occasionally has a bad taste in his mouth when he wakes up from sleep. His body mass index is 32, he has no significant medical history, and he takes no regular medications. After asking him about alarm symptoms, you make a diagnosis of gastro-oesophageal reflux disease. You are considering…
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