PPI Prescribing Guide
Your patient does not have an ulcer and has already tried 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 already tried lifestyle modifications, and 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 already tried lifestyle modifications, and has symptoms >2 times per week."