PPIs: way overprescribed!!
The American Gastroenterological Association developed a clinical practice guideline on de-prescribing proton pump inhibitors (PPIs), unless there are clear indications for continuing them (see ppi deprescribing Gastro2022 in dropbox , or https://doi.org/10.1053/j.gastro.2021.12.247 Recommendations: --BEST PRACTICE ADVICE 1: all patients taking PPIs should have a regular review of the ongoing indications for use, with documentation of the indication --and this should mostly be done by the primary care clinicians (their rationale for adding more stuff for us guys to do: we do prescribe most of the PPIs; we are more likely to uncover that the patient has been buying them over-the-counter; and, when gastroenterologists are involved, the patients are usually subsequently followed by us) --BEST PRACTICE ADVICE 2: all patients without a definitive indication for chronic PPIs should be considered for a trial of de-prescribing...