7 ms·
Omeprazole is not great long term FYI - worth talking to your doctor or getting a second opinion to discuss.
by soared 3mo ago
Omeprazole is not great long term FYI - worth talking to your doctor or getting a second opinion to discuss.
- catigula 3mo agoI’ve been taking high doses long term for over a decade and I don’t really have any substantial issues.
- dotcoma 3mo agoGood for you, but this mere fact does not mean it’s ideal. Not a doctor, but I would at least try to look into this. Best of luck!
- catigula 3mo agoWhy do you think I haven’t looked into it? You’re not providing anything of note, so merely saying “I’ve looked into it. I’m good” seems like it’s the correct reply.
- derekja 3mo agoThe primary concern is reduced stomach acid leading to nutrient deficiencies, particularly b12. There have been some long term studies correlating to dementia as a result. And some studies that have not found this. So the jury is still out, but keeping an eye on some nutritional markers is not a bad idea.
- catigula 3mo agoThe dementia meta-analyses are a wash. It doesn’t lean strongly either way. I wouldn’t worry about it.
- mapkkk 3mo agoDefinitely not a good idea to be on it longer than 2 months. If we can't treat the underlying condition and the patient needs life-long acid suppression therapy, we switch to H2 receptor antagonists, like cimetidine. Long term PPI use has non-trivial risks, including magnesium and other micronutrient deficiencies, and can lead to things like SIBO and other primarily gut related morbidity. I would definitely suggest sitting down with your doctor if you were not specifically instructed to take it for that long.
- catigula 3mo agoI hate to tell you this, but recommending cimetidine basically makes you a modern day sawbones. I’d recommended getting up to date knowledge about the options before providing advice on them, starting with safer h2 antagonists like famotidine.