A 64-year-old woman with symptomatic GERD controlled on PPI asks about stepping down. Which is acceptable?...

Question

A 64-year-old woman with symptomatic GERD controlled on PPI asks about stepping down. Which is acceptable?

Accepted Answer

Trial of on-demand or lowest effective dose PPI

Answer

Stop PPI abruptly in all

Answer

Switch to sucralfate long-term

Answer

Start prokinetics indefinitely

Answer

Daily H2RA at high dose as sole therapy without trial

us-abfm MCQ (SBA): GERD Step-Down