Help Patients Taper Off Unnecessary PPIs

April 2016

Bad press about dementia and other side effects will raise more questions about appropriate use of PPIs (omeprazole, etc).

PPIs are popular because they're so effective and heartburn is common. But up to 70% of PPI use is unnecessary.

And PPIs have potential harms. Long-term use is associated with fractures, C. diff diarrhea, pneumonia, hypomagnesemia, and other risks.

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Table of Contents

Gastroenterology Help Patients Taper Off Unnecessary PPIs
Bites & Stings Explain Higher Concentration Insect Repellents Don't Work Better
Insulin Save U-500 Insulin For Patients Who Use Over 200 Units of Insulin Daily
Insulin Advise Rotating Insulin Pump Infusion Sites To Avoid Infection
Stroke Consider Pioglitazone for Patients with Prediabetes and Prior Stroke
Hepatitis C Watch Statin Doses With New Hepatitis C Med Zepatier
Respiratory & Allergy Explain That Nasal Steroids Work Best for Allergic Rhinitis
Diabetes Don't Get Hung Up on Which BP Med to Start First in Most Diabetes Patients
Opioids Start Low and Go Slow if Patients Switch to Methadone
Supplements Stick With Extended-Release Potassium Chloride Tabs or Caps for Most Patients
Testosterone Explain Testosterone May Only Provide Small Benefits in Older Men