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PPI review — GPhC CRA MCQ

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ModerateGastro-intestinal TherapeuticsPPI reviewGPhC CRA

A 69-year-old man has taken omeprazole 20 mg daily for three years after dyspepsia settled. He asks whether to keep taking it. What is the most appropriate action?

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Correct answer: C — Review indication and consider step-down or stopping if appropriate

Long-term PPI therapy should be reviewed, with step-down or discontinuation considered where the indication has resolved. Some patients need ongoing therapy, such as high GI-risk NSAID users. Rebound symptoms may occur and can be managed.

Reference: BNF; NICE CKS