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PPI review — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsPPI reviewGPhC CRA

A patient has taken omeprazole 20 mg daily for uncomplicated dyspepsia for 8 months. Symptoms are controlled and there are no alarm features. What is the most appropriate action?

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

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Correct answer: EDiscuss step-down or review of ongoing need with the prescriber

Long-term PPI therapy should be reviewed and continued at the lowest effective dose where indicated. Step-down, on-demand treatment or deprescribing may be appropriate when symptoms are controlled and there is no high-risk indication. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: NICE CKS; BNF