FDA Warns PPIs May Cause Severe Diarrheal Infection

The FDA has warned that proton pump inhibitors (PPIs) may increase the risk of developing Clostridium difficile–associated diarrhea (CDAD), a serious condition. CDAD is a persistent type of diarrhea caused by the C. diff bacterium, often spread in healthcare settings. The FDA advises healthcare providers to consider CDAD in PPI users with unresolved diarrhea and to prescribe the lowest effective PPI dose. Patients should seek immediate medical attention if they experience persistent watery stool, abdominal pain, and fever while on PPIs. PPIs are used to treat conditions like GERD and are available both by prescription and over-the-counter.

A higher risk of developing a serious condition called CDAD

PPIs  Higher Risk Of Developing Serious Condition FDA Warns Patients who take proton pump inhibitors (PPIs) may be at a higher risk of developing a serious condition called Clostridium difficile–associated diarrhea (CDAD).

The danger prompted the U.S. Food & Drug Administration (FDA) to issue a Drug Safety Communication yesterday, and announce that it was working with the makers of PPIs to add information about their association with CDAD to the drug’s labels.

CDAD is a type of diarrhea that does not improved.  It is caused by Clostridium difficile (C. diff), a bacteria often spread in hospitals, which can be passed from person-to-¬person on contaminated equipment and on the hands of doctors, nurses, other healthcare providers and visitors.

The condition can be treated with antibiotics, but often the most severe cases of C. diff infection require surgery.

In its Drug Safety Communication, the FDA advised healthcare providers

In its Drug Safety Communication, the FDA advised healthcare providers to

  • Consider a CDAD diagnosis for PPI users with diarrhea that does not improve.
  • Advise patients to seek immediate care from a healthcare professional if they experience watery stool that does not go away, abdominal pain, and fever while taking PPIs.
  • Patients should use the lowest dose and shortest duration of PPI therapy appropriate to the condition being treated.
  • Report adverse events involving PPIs to the FDA MedWatch program, using the information in the “Contact FDA” box at the bottom of the page.

Patients should seek care immediately if they develop diarrhea that does not improve.

PPIs are sold as both prescription and over-the-counter (OTC) medications.

Prescription PPIs (Dexilant, Nexium, Prevacid, Prilosec, Protonix, Vimovo and   Zegerid) are used to treat conditions such as gastroesophageal reflux disease (GERD), stomach and small intestine ulcers, and inflammation of the esophagus.  Over-the-counter PPIs (Prilosec OTC, Prevacid 24hrand Zegerid OTC) are used to treat frequent heartburn.

Need Legal Help Regarding Proton Pump Inhibitors (PPIs)?

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