LansoprazoleAt the Emergency Department, the attending physician, Dr. Vasiliou, obtains Mr. Mason's medication history. Dr. Vasiliou mentions to Mr. Mason that one of the medications he is taking, lansoprazole, could have contributed to his fracture risk. Mr. Mason asks why this has happened to him. Dr. Vasiliou explains that it is hard to tell but the extend of fractures with this drug seems to be associated with age. She also recommends that this is further investigated for osteoporosis since increased risk of fractures is normally associated with chronic use of PPIs. FURTHER DEVELOPMENTS Mr. Mason's abdominal pain has now fully resolved following his treatment with lansoprazole. However, over the next few weeks, Mr. Mason remains in a lot of pain due to his fracture. He manages to deal with the pain by taking high doses of ibuprofen three times a day. Emergency Department: Hemoptysis Later that night, Mr. Mason starts to feel nauseated and vomits. His vomit has a dark brown color. Mr. Mason is admitted to hospital and he is stabilized. Dr. Vasiliou informs Mr. Mason that his ibuprofen intake seems excessive and he probably could have prevented this unfortunate incident if he was taking a prostaglandin analogue together with ibuprofen. He also mentions that for patients with stomach problems, other analgesics may offer an advantage over ibuprofen. He advises Mr. Mason to discuss drug use with his physicians before taking any new drugs. Which gastroprotective drug is Dr. Vasiliou referring to? |
Map: Connor Mason_UNIC (1100)
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