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PPI long-term review — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsPPI long-term reviewGPhC CRA

A man has taken omeprazole daily for uncomplicated reflux for eight months and now has weekly symptoms with no alarm features. What is the most appropriate action?

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Correct answer: C — Review need and consider step-down or on-demand treatment

This scenario assesses PPI long-term review in a UK pharmacy practice context. Long-term PPI treatment should be reviewed when symptoms are controlled and no alarm features are present. The best answer is Review need and consider step-down or on-demand treatment because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: NICE CKS; BNF