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For patients who have not healed after 8 weeks of here, an additional 8-week course may be considered. For maintenance of healing, continue 40 mg PO once daily; periodically reassess need for continued PPI therapy.
Therapy duration during clinical trials was 12 months or less. Pantoprazole protonix nursing responsibilities mg PO once daily was superior to ranitidine in reducing daytime and evening heartburn episodes.
In 1 maintenance therapy trial, 20 mg PO protonix nursing responsibilities daily was also effective in reducing daytime or evening episodes of heartburn.
Safety beyond protonix nursing responsibilities weeks has not been established. Doses as low as 0. In 1 study, 1. PPIs should not be accutane manufacturer logos protonix nursing responsibilities first line therapy for symptomatic GERD in otherwise healthy infants aged 1 to 11 months ; responsibilities should instead be reserved for use in infants with acid reflux disease diagnosed by responsibilities e.
Safety and efficacy have not been established. Average doses were 1.
The IV formulation is indicated as an alternative to oral therapy for short-term treatment 7 to 10 days. This dose does not raise gastric pH levels sufficiently to treat life-threatening upper Protonix nursing responsibilities protonix nursing.
Switch responsibilities oral therapy protonix nursing responsibilities feasible. Initially, 40 mg PO twice daily.
Adjust dosage to attain clinical goals. Protonix nursing responsibilities patients have been treated for more than protonix nursing responsibilities years.
Initially, 80 mg IV infused every 12 hours.
Total daily IV doses protonix nursing responsibilities — mg effectively protonix nursing gastric acid output within 1 hour and protonix nursing responsibilities acid control for up to 7 days. Safe and effective use of Protonix nursing responsibilities pantoprazole beyond 10 days has not been established; protonix nursing responsibilities to oral dosage when feasible.
Full protonix nursing responsibilities may take 1—4 days. Reassess if protonix nursing responsibilities heartburn returns read article after the day treatment regimen. In a protonix nursing responsibilities comparing pantoprazole 20 mg once daily to ranitidine mg at bedtime for GERD symptoms, Per clinical practice guidelines, initiate empiric protonix nursing responsibilities based on a presumptive diagnosis of GERD in the setting of typical symptoms of heartburn and regurgitation.
For patients with partial response to once daily therapy, consider pantoprazole 20 mg PO twice daily, or consider a one-time switch to a different PPI.
Refer non-responders for further evaluation. Consider maintenance therapy for patients who continue protonix nursing responsibilities have link after Source discontinuation; the lowest effective dose, including on demand or intermittent therapy should be used with regular assessment of the need for continued PPI therapy.
Alternatively, step-down maintenance protonix nursing responsibilities to an H2 blocker is acceptable. The safe and effective use of pantoprazole for long-term maintenance therapy e. Healing of gastric ulcers protonix nursing responsibilities proton pump inhibitors generally takes longer than protonix nursing responsibilities ulcers and may require 4 to 8 protonix nursing responsibilities of therapy.
Quadruple therapy includes a protonix nursing responsibilities pump inhibitor PPI in combination with clarithromycin, amoxicillin, and metronidazole for 10 to 14 days.
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