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Proton pump inhibitors (omeprazole, pantoprazole, esomeprazole, lansoprazole)

Proton pump inhibitor — gastric acid suppressant

Mechanism of action

Irreversibly inhibit the H+/K+ ATPase ("proton pump") on gastric parietal cells, suppressing basal and stimulated gastric acid secretion. Profound and prolonged acid suppression after a single dose. Used for GERD, peptic ulcer disease, H. pylori eradication (with antibiotics), Zollinger-Ellison syndrome, NSAID-induced ulcer prevention, and stress-ulcer prophylaxis in critical care.

Adverse effects

Life-threatening / NCLEX-tested

  • Increased risk of C. difficile colitis
  • Community-acquired pneumonia (modest signal)
  • Hip and vertebral fracture with long-term use (calcium absorption interference)
  • Hypomagnesemia with long-term use → tetany, arrhythmias, seizures
  • Vitamin B12 deficiency with long-term use
  • Acute interstitial nephritis → AKI
  • Severe hypersensitivity reactions including SJS/TEN (rare)
  • Rebound hypersecretion after abrupt discontinuation

Side effects

Common — what to teach

  • Headache
  • GI upset, nausea, diarrhea, abdominal pain
  • Dizziness
  • Vitamin B12, magnesium, and calcium absorption issues with chronic use
  • Mild flatulence

Food & drug interactions

Omeprazole and esomeprazole are strong CYP2C19 inhibitors — REDUCE CLOPIDOGREL ACTIVATION (antiplatelet effect drops); pantoprazole is preferred when a PPI is needed in patients on clopidogrel. PPIs reduce absorption of drugs requiring acid (atazanavir, ketoconazole, iron, calcium carbonate). May increase digoxin levels by raising gastric pH. Long-term use lowers magnesium, B12, and calcium.

Nursing implications

Assessment, monitoring, patient teaching

  • Take 30–60 minutes BEFORE the first meal of the day — proton pumps are activated by food, so the drug works best when active pumps are available to bind
  • Capsules can be opened and contents sprinkled on applesauce for swallow-impaired patients (do not crush or chew the granules — they are enteric-coated)
  • If patient is on clopidogrel and needs a PPI, recommend PANTOPRAZOLE (less CYP2C19 interaction)
  • For long-term use: monitor magnesium, B12, and calcium periodically; review the indication at least yearly — many patients can step down to H2 blocker or stop
  • Counsel against indefinite OTC use without medical review
  • Teach to report severe diarrhea (C. diff), muscle cramps/tetany (hypomagnesemia), or new fatigue/anemia (B12)
  • For H. pylori eradication: stress adherence to the full 10–14 day combination regimen

When to hold / contraindications

  • Suspected acute interstitial nephritis with rising creatinine
  • Severe hypomagnesemia with neuromuscular or cardiac symptoms (correct first)
  • Active C. difficile infection — review the indication
  • Severe rash, fever, mucosal involvement (suspected SJS/TEN)
  • Long-term unjustified use — re-evaluate the indication and step down where appropriate

Memory anchor

PPIs end in "-prazole." Take 30–60 min before breakfast. Long-term: low magnesium, low B12, low calcium, more C. diff. Pantoprazole is the PPI of choice with clopidogrel.

Reminder: Drug cards are study aids, not clinical guidance. Always cross-check doses, holds, and contraindications with your facility's formulary and your clinical instructors before patient care.

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