A 72-year-old woman on long-term omeprazole for reflux develops symptomatic iron deficiency anaemia. Endoscopy excludes malignancy. Which strategy is ...

Question

A 72-year-old woman on long-term omeprazole for reflux develops symptomatic iron deficiency anaemia. Endoscopy excludes malignancy. Which strategy is most appropriate regarding her PPI?

Accepted Answer

Step down to the lowest effective dose or intermittent therapy

Answer

Continue PPI indefinitely at current dose

Answer

Stop PPI abruptly

Answer

Switch to H₂-blocker at high dose

Answer

Add sucralfate

ukmla MCQ (SBA): GORD (PPI step-down)

A 72-year-old woman on long-term omeprazole for reflux develops symptomatic iron deficiency anaemia. Endoscopy excludes malignancy. Which strategy is most appropriate regarding her PPI?