How and When to Taper a PPI?

How and When to Taper a PPI?

Figuring out how and when to taper a PPI is a difficult question sometimes.  Here’s a scenario and some of the items that I would look at. A 45 year old female has a past medical history of: GERD Hypertension Constipation Anemia Osteoarthritis With this minimal...
When Can We Discontinue a PPI?

When Can We Discontinue a PPI?

I often struggle with the question, “When can we discontinue a PPI?” It is rarely a black and white issue in the (mostly) geriatric population I work with.  Here’s a scenario that might make things a little more black and white. Patient 1: She is 81...
Zoloft (sertraline) and Loose Stools

Zoloft (sertraline) and Loose Stools

57 year old patient diagnosed with depression and was initiated on Zoloft (sertraline) 50 mg daily.  The physician in this case felt the patient was very depressed, and wanted to titrate the dose up fairly quickly.  Zoloft was increased to 100 mg daily after two...