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PPI review — GPhC CRA MCQ

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ModerateGastro-intestinal TherapeuticsPPI reviewGPhC CRA

A 70-year-old man has been taking omeprazole 20 mg daily for dyspepsia for two years. He has no alarm symptoms and says symptoms have been absent for months. He asks whether it needs to continue. What is the most appropriate action?

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

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Correct answer: B — Suggest a medication review and step-down plan if appropriate

Long-term PPI therapy should be reviewed to ensure there is an ongoing indication. Step-down, intermittent use or stopping may be appropriate when symptoms are controlled and no high-risk indication exists. Patients should be counselled about possible rebound symptoms and when to seek review.

Reference: NICE CKS; BNF