Safe use of proton pump inhibitors in patients with cirrhosis.
Rianne A WeersinkMargriet BoumaDavid Marinus BurgerJoost Paulus Hubertus DrenthS Froukje Harkes-IdzingaNicole G M HunfeldHerold Johnny MetselaarMargje H Monster-SimonsSandra A W van PuttenKatka TaxisS D Sander BorgsteedePublished in: British journal of clinical pharmacology (2018)
We suggest using esomeprazole, omeprazole or rabeprazole in patients with CTP A or B cirrhosis and only esomeprazole in patients with CTP C. Pharmacokinetic changes are also important to consider when prescribing PPIs to vulnerable, cirrhotic patients.