NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
  • Key to symbols

1 Gastro-intestinal system

1.3 Antisecretory drugs and mucosal protectants

1.3.1 H2-receptor antogonists

Preferred list
Total Formulary

1.3.2 Selective antimuscarinics

1.3.3 Chelates and complexes

Preferred list

1.3.4 Prostaglandin analogues

Preferred list

1.3.5 Proton pump inhibitors

Patients should be maintained on the lowest dose possible. Those with GORD without oesophagitis are encouraged to use PPIs "on demand". Measurement of serum-magnesium concentrations should be considered before and during prolonged treatment with a proton pump inhibitor, especially when used with other drugs that cause hypomagnesaemia or with digoxin.

Preferred list
LANSOPRAZOLE (CAPSULES)

Prescribing Notes:

Patients should be maintained on the lowest dose possible. Those with GORD without oesophagitis are encouraged to use lansoprazole 'on demand'.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/17816.htm

OMEPRAZOLE (CAPSULES)

Prescribing Notes:

Patients should be maintained on the lowest dose possible. Those with GORD without oesophagitis are encouraged to use omeprazole 'on demand'.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/2138.htm

Total Formulary
LANSOPRAZOLE (ORODISPERSIBLE)

Restrictions: Restricted for specialist initiation in patients with narrow-bore feeding tubes.

Prescribing Notes:

For advice on administering lansoprazole via enteral feeding tubes please click here

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/17816.htm

OMEPRAZOLE (ORODISPERSIBLE)

Restrictions: Only for use in patients with narrow-bore feeding tubes.

Prescribing Notes:

The orodispersible preparations are considerably more expensive than omeprazole capsules and should not used unless necessary.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/2138.htm