A 68-year-old with recurrent UGIB from peptic ulcer disease on aspirin for prior MI asks about PPI long term. What do guidelines suggest?...

Question

A 68-year-old with recurrent UGIB from peptic ulcer disease on aspirin for prior MI asks about PPI long term. What do guidelines suggest?

Accepted Answer

Long-term PPI co-therapy with aspirin for secondary prevention

Answer

Stop PPI after 2 weeks always

Answer

H2 blocker equally effective long term

Answer

No gastroprotection needed

Answer

Switch to clopidogrel monotherapy

us-abim MCQ (SBA): Long-term Gastroprotection