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Archive for the ‘Gastric problems’ Category

BMJ 2008;336:2-3 (5 January).
Proton pump inhibitors have been a tremendous therapeutic advance and have transformed the lives of patients with previously intractable symptoms, say editorialists Ian Forgacs and Aathavan Loganayagam. But the drugs are being overused, and side effects – although rare – should not be overlooked.

Rapid Response by Dr Raymond C Seidler, GP, NSW, Australia:

  • “Perhaps it would be salutary to consider how rare it is now to see patients with perforated ulcers or even serious gastric or duodenal ulceration.
  • These were commonplace in my early days of general practice 25 years ago. The proton pump inhibitors as a class are effective.”

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