Reflux of gastric contents, particularly acid, into the esophagus
|
|
- Ross Kennedy
- 5 years ago
- Views:
Transcription
1 Heartburn
2 Reflux of gastric contents, particularly acid, into the esophagus
3 Patient assessment with GERD 1-signs and symptoms The hallmark of typical symptom of GERD is heartburn (restrosternal),acid regurgitation, cough, hoarseness,
4 Pharyngitis, chest pain, dental erosion.
5 2-Precipitating or aggravating factors. A-Bending or lying down (e.g. at night). B-Overweight. C-After large meal. D-Pregnancy. E-It can be aggravated or even caused by belching.
6 3-Severity and location of pain: Patient who have severe pain should be referred as well as pain that radiate to the back and arm
7 4-Difficulty in swallowing (dysphagia ) and regurgitation----referral :
8 5-Age: children with symptoms of heartburn should be referred.
9 6-Medication
10 DOXYCYCLINE
11 DIAGNOSIS The most useful tool in diagnosis of GERD is the clinical history, including both presenting symptoms and associated risk factors. Endoscopy with biopsy if needed in patients with alarm signs/symptoms(dysphagia, weight loss).
12 Summary of Symptoms and circumstances for referral 1-Failure to respond to antacids 2-Pain radiating to arms 3-Difficulty in swallowing 4-Regurgitation 5-Long duration 6-Increasing severity 7-Children
13 Treatment timescale If symptoms have not improved within 7 days, the patient should see the doctor.
14 Non-pharmacological advices 1-Eat small and frequent meals 2-The evening meal is best taken several hours before going to bed 3-Use extra pillow to elevate the head of the bed).
15 4-Do not wears tight fitting clothing 5-Avoid smoking, and foods that exacerbate symptoms of GERD. 6-Weight reduction should be advised
16 Antacids (AL salts, Mg salts, Cacarbonate, Na-bicarbonate, ): The majority of marketed antacids are combination products,quick onset (Na or Ca salts) and long duration of action (AL salts, Mg salts, and Casalts). Practical points Best time for taking Antacids: 1-2hr after meal Interactions: e.g., ciprofloxacin and tetracyclines. Use of antacids during pregnancy: Side effects of antacids:
17 2-Dosage form
18 Alginates( Gaviscon ) Alginate-containing Antacids : Form a sponge like matrix that float on the top of the stomach contents, thus protecting esophagus against reflux of gastric content. It not a potent acidneutralizing agent.
19 Histamine 2 receptor antagonists (H2RA)
20 C-Histamine 2 receptor antagonists (H2RA): 1-The patients: in adults and children over 16 years. Also as OTC doses of H2RA is limited to no more than two doses times a day, and not used as OTC in pregnancy. 2- (take 1 tablet when symptoms occur)( another tablet may be repeated after more than 1hour), but when food is known to ppt symptoms----- taken an hour before food. 3-maximum 2 weeks for OTC.
21
22 Side effects of H2RA: Headache,somnolence, dizziness, diarrhea, constipation. Cimetidine may inhibit the metabolism of theophylline, warfarin, phenytoin, nefidepine and propranolol. Also cimetidine associated with antiandrogenic so gynacomastia, impotence when used in high dose.
23 D-Proton pump inhibitors (PPIs): 1- PPIs available OTC are Omeprazole (10 mg e/c tablet) and rabeprazole (10 mg e/c tablet) (In UK) and omeprazole (20 mg capsule), Lansoprazole (15 mg capsule) and esomeprazole (20 mg capsule) in USA.
24 2- in adults over 18 years. 3-It may take 1 to 4 days to achieve full symptom relief. (may need to take a concomitant antacid). 4-Treatment with OTC PPIs is limited to a maximum of 4 weeks (2 weeks in USA).
25 Single dose each day before breakfast
26 All PPIs are most effective if taken about 30 min before a meal as they inhibit only actively secreting proton pumps. Meals are the main stimulus to proton pump activity. The optimal dosing time is min before the first meal of the day (PPIs are most effective after a prolonged fast)
27 Adverse effect of PPI Headache,dizziness, somnolence, diarrhea, constipation, nausea, vit b12 deficiency also decrease absorption of iron, Ca, mg with long use. Inhibit absorption of ketocanozole and itraconazole. Omperazole can increase the concentration of ciclosporin
28 Omeprazole inhibit the metabolism of clopidogrel, therefore, the effect of clopidogrel will be: ( Decreased) so either give rabiprazole or rantidine
29 PPI formulated as enteric coated tab or delay release cap. bec it degrade in acidic media. In p.t with nasogastric tube should give PPI as dispersed tab mixed with Na-bicar. Zegerid is a combination product of omperazole + sod. Bicarb. In immediate release cap.
30 Promotility agent : useful combination with acid supression only in p.t with motility defect e.g., LES incompetence, decreased esophageal clearance and delayed gastric emptying. Metoclopramide(dopamine antagonsit,increase LES pressure and increase gastric emptying rate )and domperidone( increase gastric emptying rate.)
31 Domperidone previously was used as an OTC for the treatment of postprandial stomach symptoms of excessive fullness. It increases the rate of gastric emptying.
32 Sucralfate not useful in GERD.
33 Indigestion (dyspepsia) Heartburn should not be confused with dyspepsia. The discomfort of dyspepsia is variably described as feeling of fullness, but is generally not burning in nature
34 Significance of questions and 1-Age children, who should be referred. first-time indigestion in patients aged 45 years or over and refer. answers 2-Symptoms The symptoms of typical indigestion include upper abdominal discomfort,).
35 3-Duration/previous history Indigestion that is persistent or recurrent should be referred to the doctor. history of the symptom which has not responded to treatment, or which has worsened, should be referred.
36 Gallstones This causes severe pain below the right rib margin. may be precipitate d by a fatty meal
37 C-Gastro-Esophageal reflux
38 Irritable bowel syndrome
39 Myocardial ischemia
40 Appendicitis
41 5-Details of pain/associated symptoms A-Ulcer
42 Dudenal ulcer 1-Pain of a DU is localised to the upper abdomen, slightly to the right of the midline. The pain is most likely to occur when the stomach is empty, especially at night. It is relieved by food..
43 Gastric ulcer (GU) The pain of a GU is in the same area but less well localised. It is often aggravated by food.
44 G-More serious disorders Persisting upper abdominal pain, especially when associated with unexplained weight loss, may herald an underlying cancer. Ulcers sometimes start bleeding, which may present with blood in the vomit (haematemesis) or in the stool (melaena). In the latter the stool becomes tarry and black. Urgent referral is necessary
45 melaena
46 6-Medication A-Medicines already tried: B-Other medicines being taken:. Severe or prolonged indigestion in any patient taking an NSAID is an indication for referral
47 Summary of Symptoms and circumstances for referral : 1-Age over 45 years if symptoms develop for first time. 2-Symptoms are persistent or recurrent. 3-Pain is severe. 4-Blood in vomit or stool. 5-Pain worsens on effort. 6-Persistent vomiting. 7- Treatment has failed. 8-Adverse drug reaction is suspected. 9-Associated weight loss. 10-Children. 11- Indigestion between meals or at night.12-pain radiating from central or epigastric areas.
48 Treatment timescale If symptoms have not improved within 5 days, the patient should see the doctor. Management A-Antacids: as in GERD B-Famotidine and ranitidine: as in GERD.
49 dimethicone : sometimes added to antacid ( antigases)
50
Heartburn, also referred to acid reflux, happens when stomach acid flows back (refluxes) into your esophagus.
WHILE almost everyone experiences mild heartburn from time to time and many individuals have some antacids or another medication on hand for its relief, talk to your doctor, if you have heartburn more
More informationGASTROINTESTINAL SYSTEM MANAGEMENT OF DYSPEPSIA
GASTROINTESTINAL SYSTEM MANAGEMENT OF DYSPEPSIA MANAGEMENT Dyspepsia refers to a spectrum of usually intermittent upper gastrointestinal symptoms, including epigastric pain and heartburn. For the majority
More informationPeptic ulcer disease Disorders of the esophagus
Peptic ulcer disease Disorders of the esophagus Peptic ulcer disease Burning epigastric pain Exacerbated by fasting Improved with meals Ulcer: disruption of mucosal integrity >5 mm in size, with depth
More informationJames Paget University Hospitals. NHS Foundation Trust. Hiatus hernia. Patient Information
James Paget University Hospitals NHS Foundation Trust Hiatus hernia Patient Information What is a hiatus hernia? A hiatus hernia can cause highly irritating stomach contents, such as acid, to move up into
More informationGASTROINTESTINAL AND ANTIEMETIC DRUGS. Submitted by: Shaema M. Ali
GASTROINTESTINAL AND ANTIEMETIC DRUGS Submitted by: Shaema M. Ali GASTROINTESTINAL AND ANTIEMETIC DRUGS by: Shaema M. Ali There are four common medical conditions involving the GI system 1) peptic ulcers
More informationCopy right protected Page 1
DRUGS USED IN ULCERS AND GIT DISORDERS A peptic ulcer, also known as PUD or peptic ulcer disease is an ulcer of an area of the gastrointestinal tract that is usually acidic and thus extremely painful.
More informationSASKATCHEWAN REGISTERED NURSES ASSOCIATION
DEFINITION Reflux of gastric contents into the esophagus, which results in esophageal irritation or inflammation. IMMEDIATE CONSULTATION REQUIRED IN THE FOLLOWING SITUATIONS Dysphagia (solid food, progressive)
More informationManagement of Dyspepsia
MPharm Programme Management of Dyspepsia Slide 1 of 28 Learning Objectives Understand the principles and wider implications underpinning evidence based therapeutics in the key clinical specialities Objectively
More informationGastro-oesophageal reflux disease and peptic ulcer disease. By: Dr. Singanamala Suman Assistant Professor Department of Pharm.D
Gastro-oesophageal reflux disease and peptic ulcer disease By: Dr. Singanamala Suman Assistant Professor Department of Pharm.D Gastro-oesophageal reflux disease and peptic ulcer disease Learning objectives:
More informationDyspepsia. Dyspepsia covers upper abdominal pain, fullness, early satiety, bloating, and nausea.
Antacids Hawler medical university Collage of pharmacy/ fourth year /pharmacy practice Sham A. Talat Shareef (B.Sc. Msc. clinical pharmacy) 2017-2018 Sham_talat@yahoo.com Head of Department Of Clinical
More informationDERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT OF DYSPEPSIA
DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT OF DYSPEPSIA o Patients of any age with ALARM signs should be referred through the 2-week referral system o Routine endoscopic investigation
More informationPatient information. Laryngopharyngeal Reflux ( LPR) Ear Nose and Throat Directorate PIF 1423/V4
Patient information Laryngopharyngeal Reflux ( LPR) Ear Nose and Throat Directorate PIF 1423/V4 You have been diagnosed with laryngopharyngeal reflux (LPR), otherwise known as extra-oesophageal reflux
More informationPage 1 of 5 Official reprint from UpToDate www.uptodate.com 2017 UpToDate Patient education: Acid reflux (gastroesophageal reflux disease) in adults (The Basics) Written by the doctors and editors at UpToDate
More informationGastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD) Information for patients UHN Read this handout to learn about: What gastroesohageal reflux (GERD) is Signs and symptoms How your doctor will know if you have it Tests
More informationGASTRO-OESOPHAGEAL REFLUX DR RONALDA DELACY
GASTRO-OESOPHAGEAL REFLUX DR RONALDA DELACY DEFINITIONS GERD -Involuntary, effortless passage of gastric contents into the oesophagus +/-ejected from the mouth resulting in troublesome symptoms or complications
More informationMANAGEMENT OF DYSPEPSIA AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)
DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT OF DYSPEPSIA AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD) Routine endoscopic investigation of patients of any age, presenting with dyspepsia
More informationTreatment Options for GERD or Acid Reflux Disease A Review of the Research for Adults
Treatment Options for GERD or Acid Reflux Disease A Review of the Research for Adults hur till återvinna från prostataoperation Is This Information Right for Me? Yes, if: A doctor said that you have gastroesophageal
More informationGI Pharmacology. Dr. Alia Shatanawi 5/4/2018
GI Pharmacology Dr. Alia Shatanawi 5/4/2018 Drugs Used in Gastrointestinal Diseases Drugs used in Peptic Ulcer Diseases. Drugs Stimulating Gastrointestinal Motility &Laxatives. Antidiarrheal Agents. Drugs
More informationQUICK QUERIES. Topical Questions, Sound Answers
QUICK QUERIES Topical Questions, Sound Answers Dyspepsia: An Evidence-Based Approach Alan B. R. Thomson, MD, PhD, FRCPC, FACP, FACG Presented at the University of Alberta s Medical Grand Rounds, University
More informationOptimizing the Upper GI: Mind, Mouth, and Stomach What Can Go Wrong With Dr. Ritamarie Loscalzo
Optimizing the Upper GI: Mind, Mouth, and Stomach What Can Go Wrong With Dr. Ritamarie Loscalzo Medical Disclaimer: The information in this presentation is not intended to replace a one-onone relationship
More informationDYSPEPSIA Dyspepsia indigestion during or after eating Full Heat, burning or pain Note: one of every four people
What Is Dyspepsia? Dyspepsia, also known as indigestion, can have multiple symptoms. Feelings of indigestion happen during or after eating. If you have indigestion you might feel: Full during a meal. Painful
More informationWHAT IS GASTROESOPHAGEAL REFLUX DISEASE (GERD)?
WHAT IS GASTROESOPHAGEAL REFLUX DISEASE (GERD)? The term gastroesophageal reflux describes the movement (or reflux) of stomach contents back up into the esophagus, the muscular tube that extends from the
More informationSurgery while taking Protonix? 1,368 conversations on the web about experiences with taking Protonix before or after having a Surgery.
Surgery while taking Protonix? 1,368 conversations on the web about experiences with taking Protonix before or after having a Surgery. Everything you ever wanted to know about gastric sleeve surgery. What
More informationhttps://www.uptodate.com/contents/acid-reflux-gastroesophageal-reflux-disease-in-adults-...
Page 1 of 10 Official reprint from UpToDate www.uptodate.com 2017 UpToDate The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment.
More informationGERD. Gastroesophageal reflux disease, or GERD, occurs when acid from the. stomach backs up into the esophagus. Normally, food travels from the
GERD What is GERD? Gastroesophageal reflux disease, or GERD, occurs when acid from the stomach backs up into the esophagus. Normally, food travels from the mouth, down through the esophagus and into the
More informationSelf-care information on indigestion
Self-care information on indigestion 2 What is indigestion? Indigestion (also known as dyspepsia) is a term which describes pain or discomfort in your chest or stomach. What causes indigestion? It is caused
More informationNational Digestive Diseases Information Clearinghouse
Gastritis National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is gastritis? Gastritis is a condition in which the stomach
More informationHIATUS HERNIAS. Contents What is a Hiatus Hernia?... 3
Contents What is a Hiatus Hernia?........................ 3 What about exercise?............................ 6 YOUR GUIDE TO HIATUS HERNIAS An IPRS Guide to provide you with exercises and advice to ease
More informationNexium 24HR Pharmacy Training
Nexium 24HR Pharmacy Training Your pharmacist's advice is required. Always read the label. Use only as directed. If symptoms persist, consult your doctor/ healthcare professional. Pfizer Consumer Healthcare
More informationGastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD) Acid Reflux Acid reflux occurs when acid from the stomach moves backwards into the esophagus. Heartburn Heartburn is a symptom of acid reflux and GERD. It may feel
More informationHiatus Hernia. Endoscopy Department. Patient information leaflet
Hiatus Hernia Endoscopy Department Patient information leaflet You will only be given this leaflet if you have been diagnosed with a hiatus hernia. The information below outlines normal anatomy, conditions,
More informationHeartburn Overview. Causes & Risk Factors
Return to Web version Heartburn Overview What is heartburn? Despite its name, heartburn doesn't affect the heart. Heartburn is a burning feeling in the lower chest, along with a sour or bitter taste in
More informationPage 1. Objectives. The Role of the Pharmacist as Gatekeeper to the Appropriate Use of OTC PPI Therapy in Frequent Heartburn
Page 1 The Role of the Pharmacist as Gatekeeper to the Appropriate Use of OTC PPI Therapy in The Role of the Pharmacist as Gatekeeper to the Appropriate Use of OTC PPI Therapy in Colin W. Howden, MD, FRCP
More informationYou May Be at Risk. You are currently taking a proton pump inhibitor (PPI):
PPI You are currently taking a proton pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Esomeprazole (Nexium ) Omeprazole (Losec, Olex ) Lansoprazole (Prevacid, Prevacid Fast Tab ) Pantoprazole sodium
More informationGuidelines for the Management of Dyspepsia and GORD. Gastroenterology/ Acute Adult Governance. Drugs and Therapeutics Committee
Guidelines for the Management of Dyspepsia and GORD Document type: Version: 3.0 Author (name): Author (designation): Validated by Prescribing Dr. G. Lipscomb Date validated October 2015 Ratified by: Date
More informationDefinition: gas tro e soph a ge al re f lux dis ease (GERD) from Stedman's Medical Dictionary for the Health Professions and Nursing
Topic Page: Gastroesophageal reflux Definition: gas tro e soph a ge al re f lux dis ease (GERD) from Stedman's Medical Dictionary for the Health Professions and Nursing (gas trō-ĕ-sof ă-jē ăl rē flŭks
More informationManagement of dyspepsia and of Helicobacter pylori infection
Management of dyspepsia and of Helicobacter pylori infection The University of Nottingham John Atherton Wolfson Digestive Diseases Centre University of Nottingham, UK Community management of dyspepsia
More informationUPPER GI DISEASES 11/15/2014. Lesson Objectives. GI Tract Review. NUTR 2050 Nutrition for Nursing Professionals. Mrs. Deborah A. Hutcheon, MS, RD, LD
UPPER GI DISEASES NUTR 2050 Nutrition for Nursing Professionals Mrs. Deborah A. Hutcheon, MS, RD, LD Lesson Objectives At the end of the lesson, the student will be able to: 1. Describe causes and contributing
More informationGASTROESOPHAGEAL REFLUX DISEASE. William M. Brady
Drugs of Today 1998, 34(1): 25-30 Copyright PROUS SCIENCE GASTROESOPHAGEAL REFLUX DISEASE William M. Brady Section of General Internal Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania,
More informationBarrett s Oesophagus Information Leaflet THE DIGESTIVE SYSTEM. gutscharity.org.
THE DIGESTIVE SYSTEM http://healthfavo.com/digestive-system-for-kids.html This factsheet is about Barrett s Oesophagus Barrett s Oesophagus is the term used for a pre-cancerous condition where the normal
More informationREAD THIS FOR SAFE AND EFECTIVE USE OF YOUR MEDICATION PATIENT MEDICATION INFORMATION. Lansoprazole delayed release capsules
READ THIS FOR SAFE AND EFECTIVE USE OF YOUR MEDICATION PATIENT MEDICATION INFORMATION Pr LANSOPRAZOLE Lansoprazole delayed release capsules Read this carefully before you start taking LANSOPRAZOLE and
More information1. The proposed strength, quantity, dosage form, dose and route of administration of the medicine including indication
Investigation 10mg 1. The proposed strength, quantity, dosage form, dose and route of administration of the medicine including indication Blister packs of 14 Solid dose form for oral administration. It
More informationOTC PPI Therapy in Frequent Heartburn
Page 1 Gate Keeper to the Appropriate Use of OTC PPI Therapy for Conflicts of Interest Gatekeeper to the Appropriate Use of OTC PPI Therapy in Colin W. Howden, MD, FRCP (Glasg), FACP, FACG, FCP Professor
More informationGERD DIAGNOSIS & TREATMENT DISCLOSURES 4/18/2018
GERD DIAGNOSIS & TREATMENT Subhash Chandra MBBS Assistant Professor CHI Health Clinic Gastroenterology Creighton University, School of Medicine April 28, 2018 DISCLOSURES None 1 OBJECTIVES Review update
More information11/19/2012. Comparison between PPIs G CELL. Risk ratio (95% CI) Patient subgroup. gastrin. S-form of omeprazole. Acid sensitive. coated.
REGULATION OF GASTRIC ACID SECRETION Comparison between PPIs Omeprazole Lansoprazole Rabeprazole Pantoprazole Esomeprazole gastrin G CELL + Acid sensitive Yes T1/2 30-60 minutes Main elimination Enteric
More informationProton Pump Inhibitors. Description. Section: Prescription Drugs Effective Date: July 1, 2014
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.09.01 Subject: Proton Pump Inhibitors Page: 1 of 7 Last Review Date: June 12, 2014 Proton Pump Inhibitors
More informationEffective Health Care
Effective Health Care Comparative Effectiveness of Management Strategies for Gastroesophageal Reflux Disease Executive Summary Background Gastroesophageal reflux disease (GERD), defined as weekly heartburn
More informationA. Incorrect! Histamine is a secretagogue for stomach acid, but this is not the only correct answer.
Pharmacology - Problem Drill 21: Drugs Used To Treat GI Disorders No. 1 of 10 1. Endogenous secretagogues for stomach acid include: #01 (A) Histamine (B) Gastrin (C) PGE1 (D) A and B (E) A, B and C Histamine
More informationGastroesophageal Reflux Disease, Paraesophageal Hernias &
530.81 553.3 & 530.00 43289, 43659 1043432842, MD Assistant Clinical Professor of Surgery, UH JABSOM Associate General Surgery Program Director Director of Minimally Invasive & Bariatric Surgery Programs
More informationEMILOK Global. (omeprazole) Composition: Each capsule contains 20 mg omeprazole as enteric-coated
EMILOK Global (omeprazole) Composition: Each capsule contains 20 mg omeprazole as enteric-coated granules. Properties: Emilok (omeprazole) belongs to the group of proton pump inhibitors, inhibits both
More informationREAD THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION. lansoprazole delayed-release capsule (Manufacturer s standard)
READ THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION Pr PREVACID lansoprazole delayed-release capsule (Manufacturer s standard) Read this carefully before you start taking
More informationManagement of dyspepsia in adults in primary care
Dyspepsia Management of dyspepsia in adults in primary care June 2005. The recommendations on referral for endoscopy in this NICE guideline have been amended in line with the recommendation in the NICE
More informationLaryngopharyngeal Reflux
Laryngopharyngeal Reflux The Silent Reflux What is Laryngopharyngeal Reflux? Also called Reflux laryngitis, laryngopharyngeal reflux is a condition where the acid from the stomach reaches the voicebox
More informationCOMPUS OPTIMAL THERAPY REPORT. Supporting Informed Decisions. À l appui des décisions éclairées
OPTIMAL THERAPY REPORT COMPUS Volume 1, Issue 5 March 2007 Current Practice Analysis Report for the Prescribing and Use of Proton Pump Inhibitors (PPIs) Supporting Informed Decisions À l appui des décisions
More informationPRESCRIBING SUPPORT TEAM AUDIT: PROTON PUMP INHIBITOR PRESCRIBING REVIEW
PRESCRIBING SUPPORT TEAM AUDIT: PROTON PUMP INHIBITOR PRESCRIBING REVIEW DATE OF AUTHORISATION: AUTHORISING GP: PRESCRIBING SUPPORT TECHNICIAN: SUMMARY Dyspepsia refers to a broad range of symptoms related
More informationHeartburn. Understanding and Treating. Heal n Cure For appointments call
A C P S P E C I A L R E P O R T Understanding and Treating Heartburn What is Heartburn? It begins as a burning pain in the middle of your chest, behind the breastbone, often after a big meal. The burning
More informationGastro-Oesophageal Reflux Disease Information Sheet
Gastro-Oesophageal Reflux Disease Information Sheet Gastro-Oesophageal Reflux Disease This sheet gives you information about Gastro-Oesophageal Reflux Disease & Fundoplication Surgery What is gastro-oesophageal
More informationUnmet Needs in the Management of Gastroesophageal Reflux Disease
Unmet Needs in the Management of Gastroesophageal Reflux Disease Ronnie Fass MD Professor of Medicine Case Western Reserve University Chairman, Division of Gastroenterology and Hepatology Director, Esophageal
More informationThe legally binding text is the original French version TRANSPARENCY COMMITTEE OPINION. 14 September 2011
The legally binding text is the original French version TRANSPARENCY COMMITTEE OPINION 14 September 2011 GAVISCON PEPPERMINT, chewable tablet B/20 (CIP code: 367 909-6) GAVISCON, oral suspension 250 ml
More informationPharmacy Coverage Guidelines are subject to change as new information becomes available.
PROTON PUMP INHIBITORS, NON-PREFERRED FORMS: ACIPHEX (rabeprazole sodium EC) oral tablet ACIPHEX SPRINKLE (rabeprazole sodium DR) oral capsule ESOMEPRAZOLE STRONTIUM (esomeprazole strontium DR) oral capsule
More information* Adults. NSAID associated peptic ulceration: - Acute treatment: 150 mg twice daily for 8 to 12 weeks, or 300mg nocte.
Trade Name Aciloc 75 mg & 300 mg Film-coated tablets Generic Name Ranitidine Composition Each Aciloc 300 mg film-coated tablet contains: - Active ingredient: Ranitidine hydrochloride 336 mg equivalent
More informationJuly 19, Division of Dockets Management Food and Drug Administration 5630 Fishers Lane Room 1061, HFA-305 Rockville, Maryland 20852
July 19, 2017 Division of Dockets Management Food and Drug Administration 5630 Fishers Lane Room 1061, HFA-305 Rockville, Maryland 20852 Re: Comments on Citizen s Petition #FDA-2017-P-2733 Herein, the
More informationFamotidine Extended Abstracts
Famotidine Extended Abstracts I) Primary literature Summary Ciccone, Decktor, et. al. Efficacy and tolerability of famotidine in preventing heartburn and related symptoms of upper gastrointestinal discomfort.
More informationDifference between omeprazole and omeprazole delayed release
Cari untuk: Cari Cari Difference between omeprazole and omeprazole delayed release 7-2-2018 Easy to read patient leaflet for Omeprazole Delayed-Release Capsules. Includes indications, proper use, special
More informationAn approach to dyspepsia for the pharmacist
An approach to dyspepsia for the pharmacist Ilse Truter, DCom, BPharm, MSc, PhD, Drug Utilization Research Unit (DURU) Department of Pharmacy, Nelson Mandela Metropolitan University Correspondence to:
More informationDrug Class Monograph
Drug Class Monograph Class: Proton Pump Inhibitors Drugs: Aciphex Sprinkle (rabeprazole), Dexilant (dexlansoprazole), Lansoprazole, Nexium (esomeprazole capsule, esomeprazole granules), Omeprazole, Pantoprazole,
More informationGastroesophageal Reflux Disease (GERD)
Understanding and Managing the Patient with Gastroesophageal Reflux Disease () Marica Gaspic Piskovic, BscPhm, RPh This program has been approved for 1.5 CEUs by the Canadian Council on Continuing Education
More informationUnderstanding GERD. & Stretta Therapy. GERD (gĕrd): Gastroesophageal Reflux Disease
Understanding GERD & Stretta Therapy GERD (gĕrd): Gastroesophageal Reflux Disease What is GERD? When the muscle between your stomach and esophagus is weak, stomach contents like acid or bile can reflux
More informationThe usual dose is 40 mg daily with amoxycillin 1.5 g (750 mg b.d.) for 2 weeks. Up to 2 g/day of amoxycillin has been used in clinical trials.
Name Gasec - 2 Gastrocaps Composition Gasec-20 Gastrocaps Each Gastrocaps contains: Omeprazole 20 mg (in the form of enteric-coated pellets) Properties, effects Proton Pump Inhibitor Omeprazole belongs
More informationA Trip Through the GI Tract: Common GI Diseases and Complaints. Jennifer Curtis, MD
A Trip Through the GI Tract: Common GI Diseases and Complaints Jennifer Curtis, MD Colon Cancer How does it develop? Most cancers arise from polyps Over time these can turn into cancer Combination of genetic
More informationPutting Chronic Heartburn On Ice
Putting Chronic Heartburn On Ice Over the years, gastroesophageal reflux disease has proven to be one of the most common complaints facing family physicians. With quicker diagnosis, this pesky ailment
More informationHEARTBURN & REFLUX FUNDING RESEARCH INTO DISEASES OF THE GUT, LIVER & PANCREAS
ALL YOU NEED TO KNOW ABOUT HEARTBURN & REFLUX FUNDING RESEARCH INTO DISEASES OF THE GUT, LIVER & PANCREAS THIS FACTSHEET IS ABOUT HEARTBURN & REFLUX Heartburn is extremely common, affecting up to 25% of
More informationProton Pump Inhibitors Drug Class Prior Authorization Protocol
Proton Pump Inhibitors Drug Class Prior Authorization Protocol Line of Business: Medi-Cal P&T Approval Date: November 15, 2017 Effective Date: January 1, 2018 This policy has been developed through review
More informationTBURN TBURN BURN ARTBURN EARTBURN EART HEARTBURN: HOW TO GET IT OFF YOUR CHEST
TBURN BURN TBURN ARTBURN. EARTBURN EART N EARTBURN HEARTBURN: HOW TO GET IT OFF YOUR CHEST Do you sometimes wake up at night with a sharp, burning sensation in your chest? Does this sometimes happen during
More informationYou May Be at Risk. You are currently taking a proton-pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Pantoprazole (Pantoloc, Panto IV )
You May Be at Risk. You are currently taking a proton-pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Esomeprazole (Nexium ) Omeprazole (Losec, Olex ) Pantoprazole (Pantoloc, Panto IV ) Pantoprazole
More informationProton Pump Inhibitors
Market DC Proton Pump Inhibitors Override(s) Prior Authorization Quantity Limit** Approval Duration Preferred PPI: No Prior Authorization required Preferred PPI quantity override: Lifetime Non-Preferred
More informationProton Pump Inhibitors (PPIs) (Sherwood Employer Group)
Proton Pump Inhibitors (PPIs) (Sherwood Employer Group) BCBSKS will review Prior Authorization requests Prior Authorization Form: https://www.bcbsks.com/customerservice/forms/pdf/priorauth-6058ks-st-ippi.pdf
More informationREAD THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION. lansoprazole delayed-release tablet
READ THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION Pr PREVACID FasTab lansoprazole delayed-release tablet Read this carefully before you start taking PREVACID FasTab and
More informationSilent Reflux. Adult Speech & Language Therapy Macclesfield District General Hospital
Silent Reflux Adult Speech & Language Therapy 01625 661067 Macclesfield District General Hospital @EastCheshireNHS Leaflet Ref: 11067 Published: Jan 2019 Review: 31/12/2021 Page 1 Introduction Reflux is
More informationAlginates Extended Abstract
Alginates Extended Abstract III) Clinical practice guidelines: DeVault KR, Castell DO; American College of Gastroenterology. Updated guidelines for the diagnosis and treatment of gastroesophageal reflux
More informationJune By: Reza Gholami
ACG/CAG guideline on Management of Dyspepsia June 2017 By: Reza Gholami DEFINITION OF DYSPEPSIA AND SCOPE OF THE GUIDELINE Dyspepsia was originally defined as any symptoms referable to the upper gastrointestinal
More informationSilent reflux (also known as LPR or EOR)
ENT - Information for patients Silent reflux (also known as LPR or EOR) Introduction This leaflet explains what your condition is, why it happens, what the symptoms are and how it can be managed. If there
More informationGastro Esophageal Reflux Disease
CHAPTER 1 Gastro Esophageal Reflux Disease M.ASHOKKUMAR DEPT OF PHARMACY PRACTICE SRM COLLEGE OF PHARMACY SRM UNIVERSITY ** Click on the arrow at the bottom right to move forward ** ** The arrow at the
More informationGERD. More Than Just Heartburn. written by Harvard Medical School
GERD More Than Just Heartburn written by Harvard Medical School www.patientedu.org Doctors call it gastroesophageal reflux disease, or GERD. Millions of Americans call it heartburn. Many more also have
More informationConcise guide to management of reflux disease in primary care
Drug review GORD Concise guide to management of reflux disease in primary care Kumar Kanti Basu BSc, FRCP Reflux is a common disorder often aggravated by lifestyle and other medications. Our Drug review
More informationOVERALL SUMMARY OF THE SCIENTIFIC EVALUATION OF LOSEC AND ASSOCIATED NAMES (SEE ANNEX I)
ANNEX II SCIENTIFIC CONCLUSIONS AND GROUNDS FOR AMENDMENT OF THE SUMMARY OF PRODUCT CHARACTERISTICS, LABELLING AND PACKAGE LEAFLET PRESENTED BY THE EMEA 21 SCIENTIFIC CONCLUSIONS OVERALL SUMMARY OF THE
More informationESOPHAGEAL CANCER AND GERD. Prof Salman Guraya FRCS, Masters MedEd
ESOPHAGEAL CANCER AND GERD Prof Salman Guraya FRCS, Masters MedEd Learning objectives Esophagus anatomy and physiology Esophageal cancer Causes, presentations of esophageal cancer Diagnosis and management
More informationGastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD) in Adults
Gastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD) in Adults National Digestive Diseases Information Clearinghouse What is GER? Gastroesophageal reflux (GER) occurs when stomach contents
More informationSpeaker disclosure. Objectives. GERD: Who and When to Treat 7/21/2015
GERD: Who and When to Treat Eugenio J Hernandez, MD Gastrohealth, PL Assistant Professor of Clinical Medicine, FIU Herbert Wertheim School of Medicine Speaker disclosure I do not have any relevant commercial
More informationHelicobacter 2008;13:1-6. Am J Gastroent 2007;102: Am J of Med 2004;117:31-35.
An Update on Helicobacter pylori and Its Treatment Trenika Mitchell, PharmD, BCPS Clinical Assistant Professor University of Kentucky College of Pharmacy October 18, 2008 Objectives Review the epidemiology
More informationTreatments for Barrett s Oesophagus
Is it really just Heartburn? Treatments for Barrett s Oesophagus Introduction This leaflet describes the various ways in which Barrett s Oesophagus is treated. It has been produced in association with
More informationProton Pump Inhibitors. Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.50.01 Subject: Proton Pump Inhibitors Page: 1 of 6 Last Review Date: June 24, 2015 Proton Pump Inhibitors
More informationMEDICATION GUIDE. PREVACID can have other serious side effects. See What are the possible side effects of PREVACID?
Page 33 of 39 MEDICATION GUIDE PREVACID (prev-a-sid) (lansoprazole) Delayed-Release Capsules and PREVACID SoluTab (prev-a-sid sol-u-tab) (lansoprazole) Delayed-Release Orally Disintegrating Tablets Read
More information- Ali Yaghi. - Sara Yaghi. - Alia Shatnawi. 1 P a g e
-2 - Ali Yaghi - Sara Yaghi - Alia Shatnawi 1 P a g e We ended the previous lecture with H2 receptor antagonists, which work by selectively inhibiting H2 receptors. They are widely used to treat: 1- GERD,
More information6/25/ % 20% 50% 19% Functional Dyspepsia Peptic Ulcer GERD Cancer Other
Peptic Ulcer Disease and Dyspepsia John M. Inadomi, MD Professor of Medicine UCSF Chief, Clinical Gastroenterology San Francisco General Hospital Case History 49 y/o woman complains of several months of
More informationNEGATIVE ENDOSCOPY, What is the Diagnosis and Treatment?
NEGATIVE ENDOSCOPY, PPI REFRACTORY REFLUX: What is the Diagnosis and Treatment? Michael F. Vaezi, MD, PhD, MSc, FACG Professor of Medicine Clinical Director Division of Gastroenterology, Hepatology and
More informationPPIs: Good or Bad? 1. Basics of PPIs. Gastric Acid Basics. Outline. Gastric Acid Basics. Proton Pump Inhibitors (PPI)
Outline Quick basics on Proton Pump Inhibitors (PPIs) PPIs: Good or Bad? What are potential risks of PPI therapy? How to approach your patients American Gastroenterology Association (AGA) recommendations
More information