A 45-year-old man presents with a 6-month history of heartburn and regurgitation, occurring most days, particularly after meals and when lying down. H...

Question

A 45-year-old man presents with a 6-month history of heartburn and regurgitation, occurring most days, particularly after meals and when lying down. He has tried lifestyle modifications (weight loss, elevating bed head) and over-the-counter antacids with minimal relief. According to NICE NG1, what is the recommended initial pharmacological management?

Accepted Answer

Omeprazole 20mg OD for 4 weeks

Answer

Ranitidine 150mg BD for 4 weeks

Answer

Gaviscon Advance 10ml QDS PRN

Answer

Domperidone 10mg TDS

Answer

Metoclopramide 10mg TDS

mrcgp akt MCQ (SBA): Gastro-oesophageal Reflux Disease (GORD)