PPI Prescribing Guide
Patient does not have an ulcer, has not tried lifestyle modifications, and is unlikely to be compliant with lifestyle modifications. What are the frequency of symptoms?
1-2 times per week
Prescribe H2 blockers or antacids
Add to student note: "Prescribed [either H2 blockers or antacids] for GERD symptoms per EHHAPP PPI Prescribing Decision Aid. Patient has no diagnosed ulcer, has not tried lifestyle modifications, but would not likely be compliant on lifestyle modifications. Has symptoms 1-2 times per week.
More than 2 times per week
Prescribe 8-week trial of Pantoprazole
Add to student note: "Started 8 week trial of pantoprazole for GERD symptoms per EHHAPP PPI Prescribing Decision Aid. Patient has no diagnosed ulcer, has not tried lifestyle modifications, but would not likely be compliant on lifestyle modifications. Has symptoms >2 times per week.