Proton Pump Inhibitors: The Good, Bad, and Ugly

Proton Pump Inhibitors: The Good, Bad, and Ugly

Proton pump inhibitors (PPIs) continue to be the medication of choice for treatment of acid-related disease, with few if any overt side effects seen with daily use. They are often prescribed empirically, often in high doses and with many patients being treated with multiple PPIs without an objective...

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Bibliographic Details
Published in:Gastrointestinal endoscopy clinics of North America Vol. 30; no. 2; pp. 239 - 251
Main Authors: Schnoll-Sussman, Felice, Niec, Rachel, Katz, Philip O
Format: Journal Article
Language:English
Published: United States 01-04-2020
Subjects:
GERD
Acid control
PPIs
Online Access:Get full text
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Description
Summary:Proton pump inhibitors (PPIs) continue to be the medication of choice for treatment of acid-related disease, with few if any overt side effects seen with daily use. They are often prescribed empirically, often in high doses and with many patients being treated with multiple PPIs without an objective diagnosis. Therefore, they are believed to be overprescribed and used without indication. In this article we discuss the appropriate clinical indications for PPIs, review in detail the major associated adverse events, and put in perspective key issues in balancing benefits and risk of this exceptional (and safe) class of drug.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ObjectType-Review-1
ISSN:1558-1950
DOI:10.1016/j.giec.2019.12.005