PPI review — GPhC CRA MCQ
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Correct answer: E — Discuss 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