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Ask Dr. P. Jyoti Your Own Question
Dr. P. Jyoti
Dr. P. Jyoti, Consultant MD
Category: Health
Satisfied Customers: 9126
Experience:  17 yrs experience in treating OPD & Emergency patients.
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How can my mother safely taper off the proton pump inhibitor,

This answer was rated:

How can my mother safely taper off the proton pump inhibitor, Pariet?

Dr. P. Jyoti :

I am Dr. P. Jyoti, MD. I promise to use my full experience and knowledge to provide answers specific to your question. Feel free to ask me anything.

Dr. P. Jyoti :

Hello would you like to chat on this? Please type into your message box and press 'enter' or 'reply' to send the message so that we can have a live chat.

Dr. P. Jyoti :

how long has she been taking the proton pump inhibitor?

Customer:

Several years--at least five, I think.

Dr. P. Jyoti :

which one is she using, Rabeprazole, Omeprazole? and at what dose?

Customer: rabeprazole, but I don't have dosage info to hand ... whatever the standard dose is, I guess.
Dr. P. Jyoti :

standard dose is 20 mg

Dr. P. Jyoti :

the best way is to halve the dose every three weeks

Dr. P. Jyoti :

as such stopping PPI do not cause any medical problems

Dr. P. Jyoti :

but patients become used to it and may not be able to tolerate being without the drug

Dr. P. Jyoti :

hence they need to be weaned off

Dr. P. Jyoti :

you need to get a pill cutter

Dr. P. Jyoti :

the first thing to do is to cut the pill in half, so that its 10 mgh

Customer:

Not allowed to cut the tablet, I think ... enteric coated?

Dr. P. Jyoti :

thats right, cutting the tablet will reduce the absorption somewhat

Dr. P. Jyoti :

but it does not matter as she is trying to come off it anyway

Dr. P. Jyoti :

so you can cut it without problems

Customer:

OK

Dr. P. Jyoti :

use 10 mg dose for three weeks

Dr. P. Jyoti :

then another half, that is, 5 mg another three weeks

Dr. P. Jyoti :

after that, in 6 weeks, it can be stopped

Dr. P. Jyoti :

she also has to take care of her diet during this time, and for three months in total

Dr. P. Jyoti :

so that she does not feel the need to take the drug again

Dr. P. Jyoti :

frequent small meals, bland meals in general, avoid fried foods, etc

Dr. P. Jyoti :

this will let her come off it

Customer:

Can she take HCl with betaine while cutting back on Pariet?

Dr. P. Jyoti :

take care

Dr. P. Jyoti :

yes, thats all right, she can do that

Dr. P. Jyoti :

of course, you must also discuss with your doctor who is prescribing this

Customer:

DGL? Slippery elm?

Dr. P. Jyoti :

she should attempt stopping the drug only after stopping the drug

Dr. P. Jyoti :

sorry, i didnt get that. DGL?

Dr. P. Jyoti :

If the question has been answered to your satisfaction, you need to rate my service positively.

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Dr. P. Jyoti

Customer:

Deglycyrrhizinated licorice

Customer:

Please clarify: "she should attempt stopping the drug only after stopping the drug"

Dr. P. Jyoti :

she can take that, no problems

Dr. P. Jyoti :

sorry for that, what i meant was, she should attempt stopping the drug only after talking with her prescribing doctor

Dr. P. Jyoti :

any further questions?

Customer:

Ah, her GP ... am looking for a new one for her, one with some knowledge of complementary medicine who would not prescribe such medication and leave her on it for so long! But no more questions, thanks.

Dr. P. Jyoti :

glad to help

Dr. P. Jyoti and 3 other Health Specialists are ready to help you
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Dr. P. Jyoti, MD.