Question

A 61-year-old with GERD controlled on PPI asks if he should stop abruptly. Best advice?

Accepted Answer

Consider stepping down to the lowest effective dose or on-demand therapy if symptoms allow

Answer

Abruptly stop to avoid adverse effects

Answer

Switch to sucralfate for long-term control

Answer

Use metoclopramide chronically

Answer

PPI must be continued indefinitely at high dose

Practice question

A 61-year-old with GERD controlled on PPI asks if he should stop abruptly. Best advice?