Conflicting Results Lead To Over Prescribing of Acid Lowering
Drugs for People Suffering from Peptic Ulcers
According to the Clinical Study
Conflicting clinical results lead to over-prescribing of acid lowering drugs for
people suffering from peptic ulcers. Current clinical guidelines recommend that
patients with peptic ulcers younger than 45 years of age should be tested for infection
by a common bacteria (H. pylori) prior to being given drugs that reduce the production
of stomach acid. These drugs are commonly called proton pump inhibitors (PPI's)
because they lower the secretions of acids in the stomach from special glands called
proton pumps. However, the recommendation to test patients for bacterial infection
of the stomach prior to prescribing drugs is being ignored by the majority of general
practitioners. In many cases, physicians decide to prescribe drugs that lower the
production of stomach acid instead of taking the time to test the patients for infection
of the stomach with H. pylori.
According to the study, patients that have H. pylori would be better served with
treatment using common antibiotics. Studies have shown that infection of H. pylori
is common in 24 to 61% of patients tested. In this study, patients with H.pylori
that were treated with antibiotics were less likely to experience symptoms of peptic
ulcer, required fewer drugs, and were more satisfied with their results than those
treated with acid lowering drugs (PPI's). Patients that have been diagnosed with
peptic ulcers should request that they be tested for infection with the stomach
bacteria H. pylori prior to accepting a prescription for acid lowering drugs (PPI's).
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