Esomeprazole or lansoprazole

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Author: Admin | 2025-04-28

Ordered at a time as they should not be taken together. Have you read the medical information? See acid reflux/heartburn/indigestion medical information. Yes No Are you aware that use of a PPI more often than 4 times a week should be assessed and monitored by your GP? PPIs (proton pump inhibitors): omeprazole, esomeprazole, pantoprazole, lansoprazole, rabeprazole Yes No Are you aware that your GP should be informed about the supply of a PPI if you have used it continuously for over 60 days? You can enter your GP details when creating an account (or add to My account details if already registered). Yes No Do any of the following apply to you? You are aged 55 years or over with either:New onset of symptoms within the last yearor Symptoms worsening or changingAny age with reflux or heartburn and any of:Unintentional weight lossAnaemia (pale and lethargic)Difficulty or pain on swallowingFrequent vomiting, particularly if there is blood in the vomitBlack, shiny or bloody stools or persistent diarrhoeaPrevious gastric ulcer or gastric surgeryJaundice or severe liver problemsPersistent upper abdominal lump or new unexplained abdominal lumpKnown stomach tumour or cancer (now or in the past) Yes No Are you aware all acid symptoms should settle with 5 or fewer days of treatment? PPIs taken as directed for 5 days should settle all symptoms for at least a few days. Yes No Are you aware if symptoms are not controlled by taking PPIs 2-3 times weekly your GP should be consulted? If symptoms are not controlled by taking PPIs (omeprazole, esomeprazole, lansoprazole, rabeprazole, pantoprazole) 2-3 times weekly a doctor should be consulted. Yes No Have you been tested for H. pylori (a stomach bacteria)? Yes No Have you any new or changing symptoms? Yes No Some medications may interact - are you taking any of the following? Atazanavir, nelfinavir, rilpivirine, saquinavir, tipranavir, or similar - for HIVKetoconazole, itraconazole, posaconazole, or voriconazole - for fungal infectionsSt John's Wort, fluvoxamine, citalopram, escitalopram, imipramine, clomipramine - for low mood/depressionPhenytoin - for epilepsyWarfarin type anticoagulants (blood thinning tablets requiring regular blood tests)Dasatinib, gefitinib, neratinib, erlotinib, or high dose methotrexate - cancer chemotherapyRifampicin - TuberculosisOnly relevant if ordering omeprazole (Losec), esomeprazole (Nexium), or lansoprazole (Zoton FasTab):Diazepam - for anxiety, to relax muscles, or in epilepsyClopidogrel - to prevent blood clotsCilostazol - intermittent claudication (poor blood supply to legs)Digoxin - for heart problemsTacrolimus - in organ transplants onlyClarithromycin - antibiotic Yes

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