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A 35-year-old female asked:

how do you take ppi w/ nsaid if you have peptic ulcer? which ppi drug/dose do you recommend if someone w/ peptic ulcer must on max dose of nsaid?

1 doctor answer1 doctor weighed in
Dr. Jason Hemming
Gastroenterology 17 years experience
Avoid NSAID if able: I would minimize NSAID use and/or consider a cox-2 alternative. Hpylori needs to be excluded and treated if present. With this i would rec high dose ppi bid for 6-8 weeks and then if PUD healed decrease to once a day.

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Last updated Oct 3, 2016

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