Please use this identifier to cite or link to this item:
Scopus Web of Science® Altmetric
Type: Journal article
Title: Guidance on the use of over-the-counter proton pump inhibitors for the treatment of GERD
Author: Holtmann, Gerald Johannes
Bigard, Marc Andre
Malfertheiner, Peter
Pounder, Roy
Citation: International Journal of Clinical Pharmacy, 2011; 33(3):493-500
Publisher: Springer Netherlands
Issue Date: 2011
ISSN: 2210-7703
School/Discipline: Health Sciences Faculty Office
Statement of
Gerald Holtmann, Marc-André Bigard, Peter Malfertheiner and Roy Pounder
Abstract: Objective: The aim of this paper was to develop a guideline on the over-the-counter management of gastroesophageal reflux disease with proton pump inhibitors (i.e. omeprazole). Setting A meeting of internationally renowned gastroenterologists in January 2009, in Berlin, Germany. Methods: An expert panel group of gastroenterologists convened to develop a consensus-based algorithm for pharmacists for over-the-counter (OTC) treatment with proton pump inhibitors (PPIs). Key considerations were the short-term safety and efficacy of PPIs, and the extent of the risk to the sufferer, owing to the treatment not being controlled by a physician. Main outcome measures A consensus- based treatment algorithm for the OTC management of gastroesophageal reflux disease and evidence- based guidance on the use of OTC PPIs. Results: As defined by the treatment algorithm, the pharmacist should first confirm the diagnosis based on the presence of typical symptoms and secondly, as a result, rule out general practitioner referral. The third step focuses on the nature, severity and frequency of the symptoms—the patients who might have the highest benefit from a short course (14 days) of OTC PPIs are those with less than three episodes of heartburn and/or acid regurgitation per week. Patients who have three or more episodes per week can use the OTC PPIs but should also be encouraged to visit a physician, and those who already have a diagnostic workup can use proton pump inhibitors as rescue treatment if they are known responders. Guidance for pharmacists, in the form of questions and answers, summarises the current published clinical experience with PPIs in terms of their efficacy and safety, and optimal treatment schedule. Conclusions: Gastroesophageal reflux disease imposes a considerable burden on sufferers. Owing to their accepted efficacy and safety, PPIs are becoming popular as OTC options for the treatment of gastroesophageal reflux disease symptoms such as heartburn and acid regurgitation. Effective self-management of gastroesophageal reflux disease with OTC PPIs, e.g. omeprazole, could lead to lasting freedom from symptoms and improved quality of life for sufferers.
Keywords: Gastroesophageal reflux disease; GERD; Guidance; Omeprazole; OTC drugs; Pharmacist; Proton pump inhibitors
Rights: Copyright Springer Science+Business Media B.V. 2011
RMID: 0020108735
DOI: 10.1007/s11096-011-9489-y
Appears in Collections:Medicine publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.