Proton-Pump Inhibitors: Do Children Break a Leg by Using Them?
ABSTRACT
The risk of bone fracture in children under proton-pump inhibitors (PPI) treatment has been the subject of recent publications and naturally raises concerns among prescribing doctors, patients and their parents.
Currently, there is no consistency in those risk claims according to the available evidence and an update on it is beneficial to reduce anxiety on one hand, and prompt for well-planned studies addressing the issue on the other. Furthermore, common sense and well-founded prescriptions must be the general rule for this as for any other therapeutic drug.
The risk of bone fracture in children under proton-pump inhibitors (PPI) treatment has been the subject of recent publications and naturally raises concerns among prescribing doctors, patients and their parents.
Currently, there is no consistency in those risk claims according to the available evidence and an update on it is beneficial to reduce anxiety on one hand, and prompt for well-planned studies addressing the issue on the other. Furthermore, common sense and well-founded prescriptions must be the general rule for this as for any other therapeutic drug.
Keywords: drug; eosinophilic esophagitis; fracture; gastro-esophageal reflux; proton-pump inhibitors; side-effects; stomach
Document Type: Review Article
Affiliations: 1: Unit of Pediatric Gastroenterology, Centro Materno-Infanil do Norte 2: Pediatric Gastroenterology, Centro Hospitalar Universitário S. João, Porto, Portugal.
Publication date: 13 December 2021
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