By rray, 31 December, 2014 Not recommended: routine global elimination of food triggers (chocolate, caffeine, EtOH, acidic/spicy foods) [C/L]
By rray, 31 December, 2014 If nocturnal GERD: avoid meals 2-3h before bedtime, elevate head of bed [C/L]
By rray, 31 December, 2014 If long-term PPI required: use lowest effective dose, incl. on-demand or intermittent tx [C/L]. If pts experience heartburn relief<sup>3</sup> w/ H2RA: H2RA can be a maintenance option in pts w/o erosive dz [C/M].
By rray, 31 December, 2014 Initiate PPI once-daily dosing, before 1st meal of day [S/M]<sup>2, 3</sup>
By rray, 31 December, 2014 Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease. <i>Am J Gastroenterol.</i> 2013;108:308–328.