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Side effects of proton pump inhibitors: how real are they in clinical practice?

https://doi.org/10.30629/0023-2149-2024-102-1-57-61

Abstract

The presented article discusses the risk of side eff ects when using proton pump inhibitors (PPI): infectious complications (small intestinal bacterial overgrowth, Clostridium difficile-associated disease, community-acquired pneumonia, spontaneous bacterial peritonitis), stomach cancer, myocardial infarction, hypomagnesemia, iron and vitamin B12 deficiency, kidney damage, bone fractures, dementia, Alzheimer’s disease. An analysis of the literature indicates a weak causal relationship between the occurrence of these diseases and the use of PPI. Nevertheless, it is necessary to strive for the appointment of these drugs in the minimum effective dose and for as short a time as possible.

About the Authors

A. A. Sheptulin
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)
Russian Federation

Arkadiy A. Sheptulin — Doctor of Medical Sciences, Professor, Professor of the Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology of the Institute of Clinical Medicine named after N.V. Sklifosovsky

Moscow



A. A. Kirilovsky
Family Doctor
Russian Federation

Aleksey A. Kirilovsky — physician 

Moscow



K. S. Kirilovskaya
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)
Russian Federation

Ksenia S. Kirilovskaya — clinical resident of the Department of General Medical Practice of the Institute of Clinical Medicine named after. N.V. Sklifosovsky

Moscow



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Review

For citations:


Sheptulin A.A., Kirilovsky A.A., Kirilovskaya K.S. Side effects of proton pump inhibitors: how real are they in clinical practice? Clinical Medicine (Russian Journal). 2024;102(1):57-61. (In Russ.) https://doi.org/10.30629/0023-2149-2024-102-1-57-61

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)