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Omeprazole and placebo have same long-term effect on dyspepsia
PRACTICE RECOMMENDATIONS

Treatment with omeprazole relieved symptoms in the first 2 weeks in about half of patients with dyspepsia—a better response than in the patients treated with placebo. However, by 6 weeks a similar number of patients taking placebo also had symptoms relieved, and at 1 year treatment offered no benefit over placebo.

Additionally, treatment (vs placebo) did not reduce the number of patients who eventually would need endoscopy to investigate the cause of their dyspepsia. Interestingly, treating patients first with either placebo or omeprazole reduced the need for endoscopy by almost half.

 
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Rabeneck L, Soucheck J, Wristers K, et al. A double-blind, randomized, placebo-controlled trial of proton pump inhibitor therapy in patients with uninvestigated dyspepsia. Am J Gastroenterol 2002; 97:3045–3051.

Mark Lepsch, MD
Scott Strayer, MD, MPH
Department of Family Medicine, University of Virginia, Charlottesville. E-mail: [email protected].

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The Journal of Family Practice - 52(9)
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664-688
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Author and Disclosure Information

Rabeneck L, Soucheck J, Wristers K, et al. A double-blind, randomized, placebo-controlled trial of proton pump inhibitor therapy in patients with uninvestigated dyspepsia. Am J Gastroenterol 2002; 97:3045–3051.

Mark Lepsch, MD
Scott Strayer, MD, MPH
Department of Family Medicine, University of Virginia, Charlottesville. E-mail: [email protected].

Author and Disclosure Information

Rabeneck L, Soucheck J, Wristers K, et al. A double-blind, randomized, placebo-controlled trial of proton pump inhibitor therapy in patients with uninvestigated dyspepsia. Am J Gastroenterol 2002; 97:3045–3051.

Mark Lepsch, MD
Scott Strayer, MD, MPH
Department of Family Medicine, University of Virginia, Charlottesville. E-mail: [email protected].

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PRACTICE RECOMMENDATIONS

Treatment with omeprazole relieved symptoms in the first 2 weeks in about half of patients with dyspepsia—a better response than in the patients treated with placebo. However, by 6 weeks a similar number of patients taking placebo also had symptoms relieved, and at 1 year treatment offered no benefit over placebo.

Additionally, treatment (vs placebo) did not reduce the number of patients who eventually would need endoscopy to investigate the cause of their dyspepsia. Interestingly, treating patients first with either placebo or omeprazole reduced the need for endoscopy by almost half.

 
PRACTICE RECOMMENDATIONS

Treatment with omeprazole relieved symptoms in the first 2 weeks in about half of patients with dyspepsia—a better response than in the patients treated with placebo. However, by 6 weeks a similar number of patients taking placebo also had symptoms relieved, and at 1 year treatment offered no benefit over placebo.

Additionally, treatment (vs placebo) did not reduce the number of patients who eventually would need endoscopy to investigate the cause of their dyspepsia. Interestingly, treating patients first with either placebo or omeprazole reduced the need for endoscopy by almost half.

 
Issue
The Journal of Family Practice - 52(9)
Issue
The Journal of Family Practice - 52(9)
Page Number
664-688
Page Number
664-688
Publications
Publications
Topics
Article Type
Display Headline
Omeprazole and placebo have same long-term effect on dyspepsia
Display Headline
Omeprazole and placebo have same long-term effect on dyspepsia
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