Acid reflux drugs may be linked to increased pneumonia risk
Harvard researchers are saying that patients who take so-called “proton pump inhibitors (PPIs) are at higher risk for pneumonia than those who do not.” br /br /The drugs — including Nexium, Prilosec and Prevacid — are often recommended for intensive-care patients to prevent stress ulcers, and in recent years they have been given to many other hospital patients. Experts estimate that 40 percent to 70 percent of inpatients now receive acid-suppressive drugs during a hospital stay, with about half receiving them for the first time.br /br /”I noticed that there were a lot of patients being placed on these for prophylactic purposes, and I thought that was curious because they are not currently recommended for patients who aren’t at high risk for stress ulcers,” said the study’s lead author, Dr. Shoshana J. Herzig, chief medical resident at Beth Israel Deaconess Medical Center in Boston, explaining why she was interested in the subject.br /br /Dr. Herzig said that proton pump inhibitors, which suppress acid in the stomach, might promote the growth of different types of bacteria in the upper gastrointestinal and respiratory tract, and that those bacteria might be the culprits in the pneumonias. Another explanation, she suggested, may be that acid stimulates coughing, and coughing less may promote pneumonia.br /br /The study, published this week in The Journal of the American Medical Association, analyzed 63,878 admissions to Beth Israel Deaconess from Jan. 1, 2004, to Dec. 31, 2007. Among patients who received the drugs, 4.9 percent developed pneumonia in the hospital — more than double the 2 percent who had not been given the drugs. After adjusting to account for the fact that recipients of the drugs may have been sicker to begin with, the researchers determined that patients treated with acid-reflux drugs faced a 30 percent increase in pneumonia risk over patients who were not.br /br /strongDr. Grout’s Comment:/strongbr /br /This is yet another good reason to be vigilant when you or a loved one goes to the hospital. Many of the patients in the study were given acid-suppressing drugs for prophylactic purposes – meaning, just in case, but not because they needed them. Pharmaceutical drugs are powerful and have side effects. If the patient has no heartburn, why give drugs for it? If you do have heartburn, what is the cause? And, by the way, it may be too little acid, rather than too much acid. If you treat the cause, then you solve the problem and have no need to expose yourself to side effects. br /br /Sometimes heartburn is the body’s way of giving us an early warning signal. GI distress plays a role in a href=”http://www.arizonaadvancedmedicine.com/articles/allergies.html”food allergies/a, a href=”http://www.arizonaadvancedmedicine.com/articles/autoimmune_diseases.html#ibs”inflammatory bowel disease/a, a href=”http://www.arizonaadvancedmedicine.com/articles/autoimmune_diseases.html#chronicfatigue”chronic fatigue/a, a href=”http://www.arizonaadvancedmedicine.com/articles/fibromyalgia.html”fibromyalgia/a, and more. If you merely suppress the symptom, you may leave the door wide open to even worse problems down the road.div class=”blogger-post-footer”img width=’1′ height=’1′ src=’https://blogger.googleusercontent.com/tracker/4769404502414351890-4365298388932145358?l=arizonaadvancedmedicine.blogspot.com’ alt=” //div




