PPIs Flashcards
1
Q
Examples of PPI
A
Omeprazole, esomeprazole, pantoprazole etc
2
Q
Cautions of PPI
A
MC GOLF
Magnesium - measure this especially with drugs that cause hypomagnesemia e.g. digoxin
C - masks symptoms of cancer
G - Can cause GI infections and issues (C.diff, N+V etc)
O - Osteoarthritis
L - Lupus (MHRA warning)
F - Fractures
3
Q
MHRA advice on PPIs
A
- Risk of SCLE - lesions appear on the skin when exposed to sunlight. If possible, consider discontinuing
4
Q
What PPI is safe in pregnancy
A
Omeprazole
5
Q
What interaction should we watch out for with PPIs
A
Avoid CLOE
(clopidogrel and omeprazole/esomeprazole. Lowers efficacy of clopidogrel so use other PPIs with it
Methotrexate - omeprazole decreases metabolism of methotrexate