Geeky medics 2 Flashcards
Drugs that cause/exacerbate GORD/reflux/dyspepsia
Drugs that may cause or exacerbate the symptoms of GORD, such as alpha-blockers, anticholinergics, benzodiazepines, beta-blockers, bisphosphonates, calcium-channel blockers, corticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs), nitrates, theophyllines, and tricyclic antidepressants should be reviewed. The lowest effective dose should be used and if appropriate, stopped. A
Long term continuous use of antacids is not recommended for the treatment of GORD. A
Patients with uninvestigated symptoms which suggest GORD should be managed as uninvestigated Dyspepsia. A
In patients with an endoscopy confirmed diagnosis of GORD, a proton pump inhibitor (PPI), should be offered for 4 or 8 weeks. A If there is no response to a PPI, then offer a histamine2-receptor antagonist (H2-receptor antagonist).
