A dose of 40 mg once daily may be used for more severe symptoms or confirmed oesophagitis, as per clinical judgement Review at 612 weeks: Your team will assess symptom control and decide whether to continue, reduce, or stop the medication Beyond 12 weeks: Continued use only if clinically indicated for example, persistent GORD, endoscopic evidence of oesophagitis, or ongoing symptoms In line with NICE Key Therapeutic Topic KTT13 on proton pump inhibitors, the guiding principle is to use the lowest effective dose for the shortest clinically appropriate duration , with regular review and a step-down or tapering plan where possible
For example, those with pernicious anemia or poor vitamin B12 absorption need a treatment plan that fits their needs
2005 Dec;27(8):592-4
Gentle, low-impact activity like walking, cycling, and swimming can help reduce muscle pain and improve muscle strength
They are generally well tolerated
People often feel fuller after eating smaller amounts of food