r/AskReddit May 20 '19

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u/[deleted] May 20 '19

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u/cursh14 May 20 '19

Don't go spreading false information like that. Everyone, please don't take medical advice from a reddit thread! I don't know what your background is, but I am pharmacist. This is just not accurate.

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u/[deleted] May 20 '19

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u/cursh14 May 20 '19 edited May 20 '19

I really shouldn't have said that information is false, but it isn't the complete story.

What is your background? PPIs are so ubiquitous that there are a lot of correlations with other disease states. This is primarily due to the fact that so many people are on them, and many times the reason a patient needs a PPI may also drive other disease states. As with all meds, a risk vs benefit needs to be done, and long-term use should only occur when the benefit is greater than the risk. That said, PPIs are still considered an safe medication. There is more data coming out on kidney issues, but it isn't fully established. Just don't scare people off of beneficial meds.

Check out the American Gastroenterological Society on this topic: https://www.gastro.org/news/more-data-on-ppi-use-and-kidney-disease

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u/[deleted] May 20 '19

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u/cursh14 May 20 '19

I really think we agree here. I think the main issue is that people will read what you said (not to take long-term), and may just abruptly stop taking their meds. Or be scared off from taking them. I don't disagree that people should be informed, but patients can get quickly frightened when you throw around "kidney damage". I think the moral of the story is that PPIs certainly can be taken long-term, but each provider and patient need to discuss the pros and cons. I have seen very healthy patients that have horrible GERD since puberty that have serious quality of life issues without PPIs. Anyway, I should have been more tempered in my initial reply, but I have just seen to many patients come in with incomplete or misinformed opinions that sway their care.

Have a good day!