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Heartburn in pregnancy — GPhC CRA MCQ

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EasyGI TherapeuticsHeartburn in pregnancyGPhC CRA

A 26-year-old woman asks for OTC omeprazole for heartburn. She is 18 weeks pregnant, has no alarm symptoms and symptoms occur after large meals. She has not tried any treatment yet. What would you advise the patient?

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

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Correct answer: E — An antacid or alginate preparation with lifestyle advice

For heartburn in pregnancy, lifestyle advice and antacids or alginates are usually tried first. PPIs may be considered if symptoms persist, but OTC supply requires suitability assessment. Misoprostol is contraindicated in pregnancy and aspirin is not a reflux treatment.

Reference: NICE CKS; BNF