Question: I’m an 85-year-old woman with osteoporosis and GERD. I just found out the antacid (a proton pump inhibitor) I’m taking may make my bones even more brittle. What should I do?
Dr. Hibberd’s answer:
Proton pump inhibitor (PPI) medications have revolutionized the treatment of ulcers, gastritis, and GERD conditions (the leading cause of heartburn). They are easy to use, potent, and convenient.
Yes, some side effects are noted in some people and you need to decide with your physician whether they are necessary all the time or whether another treatment (such as an H2 blocker like Zantac can be used as an alternative, and used periodically to allow for a PPI vacation of sorts).
Other options include addressing your osteoporosis directly, and determining whether it needs observation, treatment, or gentle dietary manipulation.
You are not 60 years of age and options for you need to be tempered with the gains expected at your age of 85.
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