PPI Anti-acid medications include omeprazole, esomeprazole, lansoprazole and pantoprazole
After submission of this form:
- The practice will continue your medication as usual if you have indicated you are happy with things
- Otherwise the practice will contact you in a few days time days time to arrange a review.
Lifelong treatment recommended
You should continue your PPI lifelong. The benefits of taking this tablet outweigh the small risks in the long term.
You should take at least a standard daily dose which is Omeprazole 20 mg, Esomeprazole 20 mg Lansoprazole 30 mg or Pantoprazole 40 mg.
Symptomatic Treatment Advice
PPI medication is generally very safe to be taken long term and the vast majority of people who take it suffer no ill effects. However as with any medication there is a risk of problems, especially if taken regularly at high doses.
Long term problems can include weakened bones, weak muscles from low blood salts and an increased risk of bowel and chest infections. .
To minimise this risk, PPI medication should be taken at the lowest dose to control your symptoms. It can also be taken as required rather than regularly every day.
A milder anti-acid such as Gaviscon or Peptac taken as required can help reduce the amount of PPI medication you need to take.
Weight loss, avoiding alcohol, stopping smoking and avoiding coffee, spicy foods and medications such as Ibuprofen and Aspirin can help reduce symptoms of indigestion or acid reflux.
Quit your way is where you can find information and clinics to help you quit smoking as well as accessing medication from the pharmacy to help you quit.
The lowest PPI doses are:
Omeprazole 10 mg
Esomeprazole 20 mg
Lansoprazole 15 mg
Pantoprazole 20 mg
If you are already on this dose then we would recommend taking your PPI as required or stopping it.
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