Ian
interested in your HA looking for 'incentives etc '
if you're interested in auditing GI prescribing
H pylori is part of the issue
the other is long term maintenance on high dose ppis
many will be for gord
many patients will be able to continue on alow dose ppi
eg 15 mg lansoprazole or 10mg omeprazole
several practices in N Wales have carried this out succesfully
-we use the proportion of ppi s as low dose as an indicator- ? aim for over
50%
note also 5 patients swapped from 20mg omeprazole to 15 mg lansoprazole gives
1000 savings per anum
also review patients on long term ranitidine & cimetidine do they need a
healing dose for dyspepsia 300 or 800mg / d
or will maintenance 150mg or 400mg suffice- it will for maintenance ?
hope this is of some help
Rob Davies
Pharmaceutical advisor North Wales HA
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