Core IM | Internal Medicine Podcast #22 Proton-Pump Inhibitors: 5 Pearls segment
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Aug 29, 2018 Discover the critical implications of long-term proton pump inhibitor (PPI) therapy, especially in elderly patients. Learn about the potential risks like vitamin B12 deficiency and osteoporosis. Find out effective strategies for discontinuing PPI use and managing symptoms through lifestyle changes. Explore how to properly time PPI administration to maximize benefits in treating GERD. Finally, dive into five essential insights that enhance patient education and care related to PPIs.
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Monitoring Long-Term PPI Use
- Monitor patients on long-term PPIs for potential adverse effects.
- These include vitamin B12 deficiency, low magnesium, osteoporosis, C. diff infection, and others.
Case Study: Elderly Patient on Long-Term PPI
- Dr. Blum discusses a 74-year-old patient with multiple medical problems, including long-term PPI use.
- The patient had no reflux symptoms, raising concerns about potential PPI-induced issues.
PPI and B12 Malabsorption
- Long-term PPI use can lead to B12 malabsorption, increasing the risk of deficiency.
- Regularly monitor B12 levels in patients on long-term PPIs.