Gastroparesis and Parkinson’s Disease

Gastroparesis and Parkinson’s Disease

A 82 year old male has a medical history of osteoarthritis, diabetes, BPH, gastroparesis and Parkinson’s disease.  He is complaining of nausea and stomach upset after meals.  Current medications include: Sinemet 25/100 mg 2 tablet three times daily Requip 0.5 mg...
How and When to Taper a PPI?

How and When to Taper a PPI?

Figuring out how and when to taper a PPI is a difficult question sometimes.  Here’s a scenario and some of the items that I would look at. A 45 year old female has a past medical history of: GERD Hypertension Constipation Anemia Osteoarthritis With this minimal...