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Treatment of reflux disease during pregnancy and lactation

Ülkü Dağlı1, İsmail Hakkı Kalkan2

  • 1Department of Gastroenterology, Başkent University School of Medicine, Ankara, Turkey

The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
|December 5, 2017
PubMed

Gastroesophageal reflux disease (GERD) is frequently seen during pregnancy. In the medical treatment of pregnant women with GERD, alginic acid and sucralfate can be used. Calcium- and magnesium-based antacids can also be used, particularly for patients with preeclampsia. In particular, ranitidine -a histamine-2 receptor blocker- is preferred. In the case of non-responsiveness to the abovementioned treatments, proton pump inhibitors (PPIs), except omeprazole, can be given considering the benefit-harm ratio for the mother and fetus after the first trimester. In cases with GERD during the lactation period, drugs having minimum systemic absorption, such as sucralfate and alginic acid, are preferable but there is no data.

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