PPI (Anti-Acid) Medication Review "*" indicates required fields 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.Name* First Last Date of birth* DD slash MM slash YYYY Mobile number to get in touch*Usual GP* eg Dr Turnbull / Dr Brooks What do you take your PPI for?* Barrett’s Oesophagus Stomach ulcers or bleeding High alcohol intake To protect my stomach from other medication eg Ibuprofen Indigestion / Acid Reflux / Tummy pain 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. Please confirm you have considered the above information* I have considered the above information*How would you like to proceed with your PPI?* I would like to continue my PPI I would like to DISCUSS with a GP Smoking is a common cause of Indigestion and Reflux* I don’t smoke I smoke and I would like help stopping I smoke but I am not interested in stopping 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.Alcohol is a common cause of indigestion and reflux* I consume fewer than the 14 unit limit per week I consume more than 14 units of alcohol per week and would like help cutting down I consume more than 14 units of alcohol per week but I am happy with this Helpful information on cutting down alcohol can be found hereStarting an anti-acid liquid such as Peptac or Gaviscon tablets can help reduce indigestion and reflux* I am not interested I already take this Please START me on PEPTAC LIQUID Please START me on GAVISCON TABLETS Helicobacter is a common bacterial infection of the stomach that is a common cause of indigestion* I have already been tested for this I only get reflux and therefore do not need this test Please TEST ME FOR HELICOBACTER WITH A SIMPLE POO TEST How would you like to proceed with your PPI?* I would like to continue my PPI Please STOP my PPI Please REDUCE my PPI I would like to DISCUSS this with a GP 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. Comments Optional This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our privacy policy to discover how we protect and manage your submitted data.Consent* I agree to the privacy policy.*© 2022 Kristian TurnbullCAPTCHA OptionalPhone OptionalThis field is for validation purposes and should be left unchanged.
