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Why are PPIs Used?

Published in Gastrointestinal Medications 2 mins read

Proton pump inhibitors (PPIs) are primarily used to reduce stomach acid production, providing relief from conditions caused by or aggravated by excess acid.

Here's a more detailed breakdown:

  • Decreasing Stomach Acid: PPIs work by blocking the enzyme in the stomach lining that produces acid. This effectively lowers the amount of acid the stomach generates.

  • Treating GERD (Gastroesophageal Reflux Disease): PPIs are frequently prescribed to treat GERD, a condition where stomach acid repeatedly flows back into the esophagus, causing heartburn and potentially damaging the esophageal lining. They help heal the esophagus and prevent further damage.

  • Healing Stomach Ulcers: Ulcers in the stomach or small intestine can be caused by bacteria (H. pylori) or long-term use of NSAIDs (nonsteroidal anti-inflammatory drugs). PPIs help heal these ulcers by reducing acid exposure and allowing the lining to repair itself.

  • Preventing Ulcers from NSAID Use: For individuals who must take NSAIDs regularly, PPIs can be prescribed to prevent the formation of ulcers in the first place.

  • Treating Zollinger-Ellison Syndrome: This rare condition causes the stomach to produce too much acid. PPIs are often used to manage the excessive acid production associated with Zollinger-Ellison syndrome.

Examples of PPIs:

  • Omeprazole (Prilosec)
  • Lansoprazole (Prevacid)
  • Esomeprazole (Nexium)
  • Pantoprazole (Protonix)
  • Rabeprazole (AcipHex)

In summary, PPIs are used to treat and prevent conditions related to excessive stomach acid, including GERD, stomach ulcers, and Zollinger-Ellison syndrome, by effectively reducing the amount of acid the stomach produces.

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