Choosing Wisely:

Long-term acid suppression therapy for gastroesophageal reflux disease should be titrated to the lowest effective dose.

Rationale and Comments: The main identifiable risk associated with reducing or discontinuing acid suppression therapy is an increased symptom burden. It follows that the decision regarding the need for (and dosage of) maintenance therapy is driven by the impact of those residual symptoms on the patient’s quality of life rather than as a disease control measure.
Sponsoring Organizations:
  • American Gastroenterological Association
  • Sources:
  • American Gastroenterological Association position statement
  • Disciplines:
  • Gastroenterologic
  • References: • Kahrilas PJ, et al. American Gastroenterological Association medical position statement on the management of gastroesophageal reflux disease. Gastroenterology. 2008;135(4):1383-91.

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