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Gastroesophageal Reflux Disease (GERD): Overview for Clinicians

Risks of prolonged acid suppression therapy:

  • Increased risk of community-acquired pneumonia
  • Increased risk of community-acquired clostridium difficile infection
  • Decreased absorption of iron, specifically non-heme iron
  • Decreased absorption of Vitamin B12
  • Decreased absorption of calcium
  • Increased hyperplasia

Be cautious using acid suppression in:

  • Patients with iron deficiency anemia (unless due to bleeding ulcers)
  • Elderly individuals at risk of community-acquired pneumonia
  • Children for long periods of time due to risk of gastric hyperplasia.

Please see the downloads section at the right for more detailed clinician and patient information.

Disclaimer: This information is for general education. Please work with your health care practitioner to use it in the best way possible to promote your health.