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PPIs (Proton Pump Inhibitors)

-prazole
How it works

Shut down the stomach's acid pumps at the source — most acid suppression available.

You'll see
pantoprazoleomeprazoleesomeprazole
Used for
GERDPeptic ulcer / GI bleedStress ulcer prophylaxisH. pylori regimens
Side effects
Generally well tolerated short-termLong-term: C. diff risk, fractures, low magnesium/B12Rebound acid on abrupt stop
Monitor
  • Question indefinite continuation — the classic 'nobody ever stopped it' med on the MAR
  • Magnesium on long-term users with cramps/arrhythmia
🎓 Patient teaching

Take 30–60 min before breakfast. Long-term use deserves a periodic 'do I still need this?' conversation.

Source: Lehne's Pharmacology for Nursing Care, 11th ed.Reference only — verify against your facility's policy.

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