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Long-term PPI review — GPhC CRA MCQ

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EasyGastrointestinal TherapeuticsLong-term PPI reviewGPhC CRA

A 58-year-old has taken omeprazole 20 mg daily for dyspepsia for 18 months with controlled symptoms and no ulcer bleeding history. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DDiscuss step-down or review with the prescriber

Long-term PPI therapy should be reviewed and stepped down where clinically appropriate. This makes discuss step-down or review with the prescriber the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: NICE CKS; BNF