Proton pump weaning…


Proton pump weaning…  Many patients are on PPIs (like omeprazole) for gastroesophageal reflux disease.  It is thought that PPIs should only be used on a short-term basis for conditions like reflux or erosive esophagitis.

Consider stopping the PPI medication and instead take an over-the-counter H2-blocker (like Zantac or Pepcid).   Also, do “behavioral modification” like avoid food triggers (spicy or acidic foods, tobacco, alcohol, mint), eat smaller meals, and do not lie down within 3 hours of eating.

If you are unable to wean off of PPIs, then you should ask your doctor for ambulatory esophageal pH and impedance monitoring.  This will help discern if you have a functional syndrome or reflux.  Lifelong PPI treatment should not be done until this testing is done according to the “new best practices statement.”

I hope this helps.

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
This entry was posted in General Medicine- Adults, medication issues, Uncategorized and tagged , , , , , , . Bookmark the permalink.