keyword
https://read.qxmd.com/read/37003228/removal-of-pharmaceutically-active-compounds-from-water-sources-using-nanofiltration-and-reverse-osmosis-membranes-comparison-of-removal-efficiencies-and-in-depth-analysis-of-rejection-mechanisms
#21
JOURNAL ARTICLE
Asif Matin, Shehzada Muhammad Sajid Jillani, Umair Baig, I Ihsanullah, Khalid Alhooshani
Trace organic compounds from effluent streams are not completely removed by conventional purification techniques and hence, contaminating groundwater sources. Herein, we report the removal efficiency and rejection mechanisms of three common pharmaceutically active compounds (PhACs); caffeine (CFN), omeprazole (OMZ), and sulfamethoxazole (SMX), using commercial nanofiltration (NF) and reverse osmosis (RO) membranes with different surface characteristics. The RO membranes showed near-complete removal of all PhACs with rejection rates >99%...
March 30, 2023: Journal of Environmental Management
https://read.qxmd.com/read/36971201/characteristics-of-prescribing-activity-within-primary-care-in-scotland-2013-2022-of-general-practitioners-nurse-pharmacist-and-allied-health-prescribers-a-retrospective-cross-sectional-study
#22
JOURNAL ARTICLE
Sonya MacVicar, Ruth E Paterson
BACKGROUND: Independent prescribing by nurses, pharmacists and allied health professionals is diversifying into a variety of healthcare settings as pressures mount on existing resources. Primary care was an early adopter of prescribing by non-medical professionals with resulting improvements in accessibility and flexibility of services but also noted barriers. Exploring existing prescribing activity within primary care can support future initiatives that are cognisant of the needs of this specific population and targeted in the use of finite resources...
March 27, 2023: Journal of Advanced Nursing
https://read.qxmd.com/read/36900170/successful-lifetime-long-term-medical-treatment-of-acid-hypersecretion-in-zollinger-ellison-syndrome-zes-myth-or-fact-insights-from-an-analysis-of-results-of-nih-long-term-prospective-studies-of-zes
#23
JOURNAL ARTICLE
Tetsuhide Ito, Irene Ramos-Alvarez, Robert T Jensen
Analysis of the efficacy/pharmacology of long-term/lifetime medical treatment of acid hypersecretion in a large cohort of ZES patients in a prospective study. This study includes the results from all 303 patients with established ZES who were prospectively followed and received acid antisecretory treatment with either H2 Rs or PPIs, with antisecretory doses individually titrated by the results of regular gastric acid testing. The study includes patients treated for short-term periods (<5 yrs), patients treated long-term (>5 yrs), and patients with lifetime treatment (30%) followed for up to 48 years (mean 14 yrs)...
February 21, 2023: Cancers
https://read.qxmd.com/read/36794273/proton-pump-inhibitor-use-amongst-patients-with-severe-hypomagnesemia
#24
JOURNAL ARTICLE
Sherry Seah, Yen Kheng Tan, Kevin Teh, Wann Jia Loh, Pei Ting Tan, Leng Chuan Goh, Roy Debajyoti Malakar, Tar Choon Aw, Chin Shern Lau, Trishpal Dhalliwal, Swee Leng Kui, Jia Wen Kam, Joan Khoo, Tunn Lin Tay, Eberta Tan, Vanessa Au, Shui Boon Soh, Meifen Zhang, Thomas F King, Linsey Gani, Troy H Puar
Introduction: Long-term proton pump inhibitor (PPI) use has been associated with hypomagnesemia. It is unknown how frequently PPI use is implicated in patients with severe hypomagnesemia, and its clinical course or risk factors. Methods: All patients with severe hypomagnesemia from 2013 to 2016 in a tertiary center were assessed for likelihood of PPI-related hypomagnesemia using Naranjo algorithm, and we described the clinical course. The clinical characteristics of each case of PPI-related severe hypomagnesemia was compared with three controls on long-term PPI without hypomagnesemia, to assess for risk factors of developing severe hypomagnesemia...
2023: Frontiers in Pharmacology
https://read.qxmd.com/read/36788753/analysis-of-deprescription-strategies-of-proton-pump-inhibitors-in-primary-care-a-narrative-review
#25
REVIEW
Miguel Del-Pino, Emilio J Sanz
BACKGROUND: Since the introduction of omeprazole in 1989, proton pump inhibitors (PPIs) have become the mainstream of treatment for acid-related pathologies, but nowadays, it is estimated that between 20% and 80% of people worldwide who are using PPIs are doing so without an approved indication. Overusing PPIs is known to involve a tremendous cost in financial terms, and many western countries have reported high spending on these medicines. OBJECTIVE: We conducted a narrative review to evaluate PPI deprescription strategies carried out entirely or in collaboration with primary care and to identify factors that could influence the success of these strategies...
February 15, 2023: Primary Health Care Research & Development
https://read.qxmd.com/read/36771360/investigation-of-enterogermina-s-protective-and-restorative-mechanisms-on-the-gut-microbiota-with-ppi-using-shime-technology
#26
JOURNAL ARTICLE
Cindy Duysburgh, Lynn Verstrepen, Mattia Van den Broeck, Zefferino Righetto, Marcos Perez
Proton pump inhibitors (PPIs) are commonly prescribed medications associated with changes in the gut microbiome and dysbiosis when used long-term. Probiotics, such as Enterogermina® (containing four strains of Bacillus clausii ) reduce side effects from triple therapy with PPI+antibiotics. We aim to assess the ability of this probiotic in preventing and/or treating the dysbiosis induced by PPI use. Faecal samples from six healthy donors were used to colonise a Triple-Mucosal-Simulator of the Human Intestinal Microbial Ecosystem® model with added ileal compartment...
January 27, 2023: Nutrients
https://read.qxmd.com/read/36624706/long-term-use-of-omeprazole-effect-on-haematological-and-biochemical-parameters
#27
JOURNAL ARTICLE
Hadeel S Al Ali, Azza Sajid Jabbar, Nadheerah F Neamah, Nawal Khalil Ibrahim
BACKGROUND: Long-term use of proton pump inhibitors (PPIs) is believed to have various potential adverse events. Omeprazole is a part of PPIs most commonly prescribed worldwide; it irreversibly binds to H+-K+ ATPase enzyme system in the gastric parietal cells to reduce secretion of H+ ions into the lumen of stomach. The main objective of the current work is to assess the adverse effects of omeprazole medication on certain haematological and biochemical parameters in patients who were on treatment for one year and more...
October 2022: Acta Medica Indonesiana
https://read.qxmd.com/read/36358776/proton-pump-inhibitors-use-and-the-risk-of-pancreatic-cancer-evidence-from-eleven-epidemiological-studies-comprising-1-5-million-individuals
#28
JOURNAL ARTICLE
Tahmina Nasrin Poly, Md Mohaimenul Islam, Bruno Andreas Walther, Ming-Chin Lin, Yu-Chuan Jack Li
Previous epidemiological studies have shown that proton pump inhibitor (PPI) may modify the risk of pancreatic cancer. We conducted an updated systematic review and meta-analysis of observational studies assessing the effect of PPI on pancreatic cancer. PubMed, Embase, Scopus, and Web of Science were searched for studies published between 1 January 2000, and 1 May 2022. We only included studies that assessed exposure to PPI, reported pancreatic cancer outcomes, and provided effect sizes (hazard ratio or odds ratio) with 95% confidence intervals (CIs)...
October 30, 2022: Cancers
https://read.qxmd.com/read/36268318/association-of-vitamin-b12-deficiency-with-long-term-ppis-use-a-cohort-study
#29
JOURNAL ARTICLE
Hassan Mumtaz, Bushra Ghafoor, Hina Saghir, Mariam Tariq, Kashmala Dahar, Syed Hasan Ali, Syeda Tahira Waheed, Abdul Ahad Syed
Background: Proton Pump inhibitors are widely used among the majority of the world's population as acid-suppressing medications. Proton Pump Inhibitors have been reported to cause intestinal damage and adverse gut microbiota changes affecting several mechanisms, including malabsorption, etc. Aim: In order to gain a deeper understanding, we conducted a cohort analysis to assess the prevalence & association of Vitamin B12 deficiency in patients on long-term use of PPIs...
October 2022: Annals of Medicine and Surgery
https://read.qxmd.com/read/36198050/short-term-administration-of-flunixin-meglumine-or-firocoxib-does-not-alter-viscoelastic-coagulation-profiles-in-healthy-horses
#30
JOURNAL ARTICLE
Rebecca C Bishop, Annette M McCoy, Ann M Kemper, Ruth M Stewart, Pamela A Wilkins
OBJECTIVE: To evaluate the effect of the cyclooxygenase-2-selective NSAID firocoxib, compared to the nonselective NSAID flunixin meglumine on viscoelastic coagulation parameters in healthy horses. ANIMALS: 12 healthy adult mixed-breed horses. PROCEDURES: Following a crossover protocol, horses were administered flunixin meglumine (1.1 mg/kg, IV, q 12 h for 5 days), allowed a 6-month washout period, and then administered firocoxib (0.3 mg/kg, PO, once, then 0...
October 4, 2022: Journal of the American Veterinary Medical Association
https://read.qxmd.com/read/36142643/proton-pump-inhibitors-and-bone-health-an-update-narrative-review
#31
REVIEW
Eric Lespessailles, Toumi Hechmi
Proton pump inhibitors (PPIs) are an antacid drug often used in acid-related disorders. They decrease acid secretion in the stomach by blocking an enzyme called H+/K+ ATPase which controls acid production. Introduced to the market in 1989, their use has increased rapidly worldwide and they are now among the top 10 most prescribed drugs in the United States. As of 2015, the FDA has already approved six drugs of this class (omeprazole, esomeprazole, lansoprazole, dexlansoprazole, pantoprazole and rabeprazole)...
September 14, 2022: International Journal of Molecular Sciences
https://read.qxmd.com/read/35930436/neuropsychological-assessment-after-long-term-omeprazole-treatment
#32
JOURNAL ARTICLE
Rochelli Haefliger, Larissa Selbach Dries, Magda Susana Perassolo, Caroline de Oliveira Cardoso
Recent studies suggest that Omeprazole, a widely used treatment for gastric acid-related disorders, may have a significant effect on human cognition. However, there is no consensus on the matter. Though some studies suggest the drug is associated with an increased risk of cognitive decline, memory impairment, and dementia, this issue has not been sufficiently studied. Therefore, the goal of this study was to investigate the cognitive impairments associated with long-term Omeprazole treatment, with a focus on memory, attention, and executive functions...
August 5, 2022: Applied Neuropsychology. Adult
https://read.qxmd.com/read/35800723/omeprazole-treatment-manifests-anxiolytic-effects-in-a-cysteamine-hydrochloride-induced-mouse-model-of-gastrointestinal-disorder
#33
JOURNAL ARTICLE
Harini Sri Rethinavel, Divya Bharathi Selvaraj, Sathya Jeevitha Balakrishnan, Jemi Feiona Vergil Andrews, Jerly Helan Mary Joseph, Mahesh Kandasamy
Omeprazole, a proton pump inhibitor (PPI), has widely been used to treat various gastrointestinal (GI) disorders. Notably, many clinical symptoms of GI disorders have been known to be associated with anxiety. In recent years, an exponentially increased number of subjects with abnormal ageing, neurological deficits, and psychiatric problems simultaneously exhibit GI dysfunctions as well as anxiety. Considering the fact, drugs that are used to treat GI disorders can be speculated to mitigate anxiety-related symptoms, and vice versa...
June 2022: Heliyon
https://read.qxmd.com/read/35641160/laparoscopic-total-fundoplication-is-superior-to-medical-treatment-for-reducing-the-cancer-risk-in-barrett-s-esophagus-a-long-term-analysis
#34
JOURNAL ARTICLE
S Szachnowicz, A F Duarte, A Nasi, J R M da Rocha, F B Seguro, E T Bianchi, F Tustumi, E G H de Moura, R A A Sallum, I Cecconello
The present study aims to compare the effectiveness of surgical and medical therapy in reducing the risk of cancer in Barrett's esophagus in a long-term evaluation. A prospective cohort was designed that compared Barrett's esophagus patients submitted to medical treatment with omeprazole or laparoscopic Nissen fundoplication. The groups were compared using propensity score matching paired by Barrett's esophagus length. A total of 398 patients met inclusion criteria. There were 207 patients in the omeprazole group (Group A) and 191 in the total fundoplication group (Group B)...
November 15, 2022: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/35461252/evolution-of-the-consumption-trend-of-proton-pump-inhibitors-in-the-lleida-health-region-between-2002-and-2015
#35
JOURNAL ARTICLE
F Torres-Bondia, J de Batlle, L Galván, M Buti, F Barbé, G Piñol-Ripoll
BACKGROUND: Proton pump inhibitors (PPIs) are one of the most commonly prescribed pharmacological groups. Their high prevalence and duration of use are of important health concern due to the risk they can cause to patients. Despite these risks, their use remains particularly high, especially in the elderly population. We determined the trend in the prevalence of PPI consumption in the population of the Lleida Health Region between 2002 and 2015 to explore patterns of use and associated characteristics...
April 24, 2022: BMC Public Health
https://read.qxmd.com/read/35067928/combined-surgical-and-medical-management-of-a-cat-with-gastrinoma
#36
J Myers-Nodes, A S W Mazepa
Gastrinomas are gastrin-secreting pancreatic tumours rarely diagnosed in cats. A 12-year-old female spayed cat was presented for vomiting, anorexia and weight loss. Physical exam revealed lethargy, dehydration and thin body condition. Pertinent laboratory abnormalities included a mild mature neutrophilia and borderline hypoalbuminaemia. Imaging of the abdomen revealed a mass-like change to the proximal duodenum. Exploratory laparotomy was performed, and the duodenal mass along with a 3-mm pancreatic nodule was removed...
January 23, 2022: Journal of Small Animal Practice
https://read.qxmd.com/read/35014666/helicobacter-pylori-eradication-in-renal-transplant-candidates
#37
MULTICENTER STUDY
Mariana E Maioli, Raquel F N Frange, Cintia M C Grion, Vinicius D A Delfino
INTRODUCTION: Treatment for Helicobacter pylori (H. pylori) infection is recommended in transplant candidates due to the association between this infection and gastrointestinal disorders, which could significantly increase morbidity after renal transplantation with the use of immunosuppression. The objective of this study was to analyze the rate of eradication of H. pylori after antimicrobial treatment in chronic kidney disease patients who are candidates for kidney transplantation. METHODS: A multicenter prospective cohort study was conducted...
April 2022: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://read.qxmd.com/read/34649359/association-between-migraine-prevalence-treatment-with-proton-pump-inhibitors-and-cyp2c19-phenotypes-in-uk-biobank
#38
JOURNAL ARTICLE
Claudia Pisanu, Nike Zoe Welander, Gull Rukh, Helgi Birgir Schiöth, Jessica Mwinyi
Proton-pump inhibitors (PPIs) are used to suppress gastric acid secretion in several gastrointestinal conditions. While these drugs are generally well tolerated, their long-term use may be associated with different adverse effects, including migraine. We analyzed the association between treatment with PPIs (omeprazole, esomeprazole, lansoprazole, pantoprazole and rabeprazole) and migraine prevalence in the UK Biobank cohort through a cross-sectional analysis (using baseline data for 468,280 participants, 16,390 of whom had migraine) and a longitudinal analysis (including 145,007 participants with no migraine at baseline, of whom 3786 had probable migraine without aura [MWOA] and 9981 probable migraine with aura [MWA] or both MWOA and MWA at an average follow-up time of 10...
November 2021: Biomedicine & Pharmacotherapy
https://read.qxmd.com/read/34407832/efficacy-and-safety-of-the-chinese-herbal-formula-hewei-jiangni-recipe-for-nerd-with-cold-heat-complex-syndrome-study-protocol-for-a-double-blinded-randomized-controlled-trial
#39
JOURNAL ARTICLE
Xiaosi Zhang, Yuan Cheng, Xiaohong Li, Xiang Tan, Lei Shi, Xiaojun Shi, Xiancui Zhang, Chun'e Xie, Junxiang Li
BACKGROUND: Proton pump inhibitor (PPI) is effective for the treatment of nonerosive gastroesophageal reflux (NERD), but long-term use of PPI is prone to have complications and recurrence after withdrawal. Traditional Chinese medicine (TCM) can relieve the symptoms of reflux and improve the quality of life. The purpose of this study is to evaluate the safety and efficacy of Hewei Jiangni recipe (HWJNR) in the treatment of NERD with cold-heat complex syndrome, and clarify the mechanism of HWJNR on NERD based on the correlation analysis of intestinal flora and metabolites...
August 18, 2021: Trials
https://read.qxmd.com/read/34119741/jianpiqinghua-granule-reduced-ppi-dosage-in-patients-with-nonerosive-reflux-disease-a-multicenter-randomized-double-blind-double-dummy-noninferiority-study
#40
RANDOMIZED CONTROLLED TRIAL
Jiaqi Zhang, Hui Che, Beihua Zhang, Chang Zhang, Bin Zhou, Haijie Ji, Jingyi Xie, Xiaoshuang Shi, Xia Li, Fengyun Wang, Xudong Tang
BACKGROUND: Proton pump inhibitors (PPIs) play an important role in the treatment of nonerosive reflux disease (NERD), but their long-term and excessive uses have been associated with safety concerns. Chinese herbal medicine (CHM) has become a popular alternative treatment for this condition. METHODS: A total of 204 patients were randomly assigned to the combination group or PPI group (1:1 ratio). They were given JianpiQinghua (JQ) granules (34.8 g) plus omeprazole (10 mg) plus dummy omeprazole (10 mg) or dummy JQ granules (34...
July 15, 2021: Phytomedicine
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