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can omeprazole cause dementia

by Alexandre White Published 3 years ago Updated 3 years ago

Three studies have found a positive association between dementia and omeprazole, esomeprazole, lansoprazole, and pantropazole, with an approximately 1.4-fold increased risk of any dementia in cohorts using PPIs (95% CI, 1.36–1.52; P < 0.001) [76].21-Mar-2018

Does omeprazole increase the risk of dementia in the elderly?

21/03/2018 · Three studies have found a positive association between dementia and omeprazole, esomeprazole, lansoprazole, and pantropazole, with an approximately 1.4-fold increased risk of any dementia in cohorts using PPIs (95% CI, 1.36–1.52; P < 0.001) .

Do proton pump inhibitors cause dementia?

31/01/2022 · Omeprazole has been listed as one of the safest medications on the market, but the link between it and dementia may make people think twice about the claim. You may wonder how a medicine that's meant to treat heartburn can be linked to dementia. Let's look at the study. The Study of Prilosec and Dementia

Can Prilosec cause dementia?

Can omeprazole cause dementia? Three studies have found a positive association between dementia and omeprazole, esomeprazole, lansoprazole, and pantropazole, with an approximately 1.4-fold increased risk of any dementia in cohorts using PPIs (95% CI, 1.36–1.52; P 0.001) [76].

Do prescription drugs raise dementia risk in seniors?

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Is omeprazole related to dementia?

The patients who had been regularly taking a PPI, such as omeprazole (Prilosec), pantoprazole (Protonix), lansoprazole (Prevacid), esomeprazole (Nexium) and rabeprazole (AcipHex), had a significantly increased risk of incident dementia compared with patients who did not take the medication.

What are the side effects of long-term use of omeprazole?

Long-term side effects Taking omeprazole for more than a year may increase your chances of certain side effects, including: bone fractures. gut infections. vitamin B12 deficiency – symptoms include feeling very tired, a sore and red tongue, mouth ulcers and pins and needles.

Does omeprazole cause Alzheimer's?

The study focused on widely used proton pump inhibitors (PPIs) drugs -- medicines such as Prevacid, Prilosec and Nexium. Previous studies have suggested the drugs may increase the risk of dementia and Alzheimer's disease in people aged 75 and older.28-Jun-2017

Which acid reflux medicine causes dementia?

MONDAY, Feb. 15, 2016 (HealthDay News) -- A popular class of heartburn medications might raise a senior's risk of dementia, a new study suggests. Called proton pump inhibitors (PPIs), this group of drugs includes Prilosec, Nexium and Prevacid.15-Feb-2016

Does omeprazole cause memory loss?

For instance, omeprazole led to deterioration of visual and episodic memory, motor and mental response speed, new learning, short-term and sustained attention, retention and manipulation of visuospatial information, and strategy development [12].21-Mar-2018

What are the dangers of taking omeprazole?

Side EffectsBack, leg, or stomach pain.bleeding or crusting sores on the lips.blisters.bloody or cloudy urine.continuing ulcers or sores in the mouth.difficult, burning, or painful urination.frequent urge to urinate.general feeling of discomfort or illness.More items...

Do antacids cause Alzheimer's?

A very large meta-analysis of 9 observational studies including more than 6,000 people reported that regular antacid use was not associated with Alzheimer's disease [18]. Even when the analysis was confined to people who used antacids regularly for over 6 months, there was no association with Alzheimer's.12-Mar-2018

What can I take instead of omeprazole?

There are other medications that can be used instead of PPIs in the treatment of conditions like acid reflux....Other MedicationsCimetidine (Tagamet)Ranitidine (Zantac)Nizatidine (Axid)Famotidine (Pepcid)15-Feb-2021

Do proton inhibitors cause dementia?

Recent clinical studies have shown that proton pump inhibitors (PPIs) are associated with risk of dementia, including AD. However, a recent case-control study reported decreased risk of dementia.

Is omeprazole OK to take long-term?

Prilosec (omeprazole) is a proton pump inhibitor that treats severe stomach acid-related conditions like GERD. Common Prilosec side effects include headache, stomach pain and nausea. Long-term Prilosec use has been linked to kidney damage, bone fractures and other dangerous side effects.

Can omeprazole cause brain fog?

It causes nausea, dizziness, brain fog, muscle fatigue, and eventually leads to a kind of painful swelling lump feeling at the base of my throat that can be highly distracting. It's horrible but so is the chest pain from reflux.

How do I stop taking omeprazole?

Stopping omeprazole But if you've been taking omeprazole for a long time, speak to your doctor before you stop taking it. Stopping suddenly could make your stomach produce a lot more acid, and make your symptoms come back. Reducing the dose gradually before stopping completely will prevent this happening.

How long did the study last on PPIs?

The study lasted eight years, and in the beginning, none of the people being studied had dementia. In eight years, they found that those who take PPIs chronically had a 44 percent increase in the risk of dementia when compared to those who were not taking them. If an individual took PPIs on occasion, the risk was much lower.

Is dementia a genetic disease?

Many forms of dementia have no clear cause. For example, the cause of Alzheimer's is not understood, but it's been speculated that genetics and lifestyle may play a part. Many scientists are trying to figure out what lifestyle choices may be linked to increasing or decreasing your risk of dementia. There have been some things ...

How many people were examined for dementia in 2017?

In 2017, the Journal of the American Geriatrics Society looked at patients with dementia. The study examined at the records of over 10,000 people, with the data obtained by the National Alzheimer's Coordinating Center.

Is omeprazole safe for dementia?

Omeprazole has been listed as one of the safest medications on the market, but the link between it and dementia may make people think twice about the claim. You may wonder how a medicine that's meant to treat heartburn can be linked to dementia. Let's look at the study.

How much sleep do you need to get dementia?

If you don't get enough sleep, that waste may build up and lead to dementia. While sleep needs are different for everyone, around 6-8 hours a night is a good ballpark. If you haven't been getting enough sleep, talk with your doctor to see if there's a reason.

Does Prilosec cause dementia?

This is the term to describe any medication that reduces stomach acid, with Prilosec being one of them. The study revealed that using PPIs chronically, as in every day, may put you at risk of dementia. The study looked at over 70,000. The study lasted eight years, and in the beginning, none of the people being studied had dementia.

How does depression affect you?

Chronic depression can prevent you from being motivated and getting you out of the house. It stops you from being as social as you may want to, and it keeps you from living a happy life. Not only that, but it can lead to dementia down the road. If you're depressed, and don't think it will pass, talk with a doctor and see if you have a depressive disorder. They may prescribe medication to treat depression or suggest speaking with a therapist to help you learn how to cope with it. Live your life as full as possible. Don't let depression ruin your life.

How many people have dementia in the world?

Approximately 50 million people have dementia worldwide, and this number is estimated to triple by 2050 1. Currently, there is no treatment available to slow the progression of cognitive decline in patients living with the disease.

What are the effects of polypharmacy on life expectancy?

Polypharmacy is associated with adverse effects such as mortality, falls, adverse drug reactions, and an increase in both hospital stay and readmissions 11, 13.

Where is PPI data obtained?

The data on PPI consumption were obtained from the number of packages dispensed by the pharmacies. Spain has a public health system where drugs are dispensed in pharmacies after presenting a prescription by a doctor (usually a general practitioner or sometimes a specialist for ambulatory patients).

Can PPIs cause dementia?

One of the most studied potential adverse effects of the long-term use of PPIs is dementia 22. However, the evidence regarding an association between the use of PPIs and developing dementia is controversial.

What is the effect of proton pump inhibitors on the body?

Some experimental 18 and clinical 19 studies in recent years have found that proton pump inhibitors (PPIs) are associated with an increased risk of dementia and AD. PPIs block the H+ and K+-ATPase and, as a result, suppress the secretion of gastric acid.

Is age a risk factor for dementia?

Age is one of the most important risk factors for dementia. Therefore, as the global population of the world ages, the prevalence of dementia and especially AD is increasing 37. Normally, the presence of health problems grows in the elderly, and as a result polypharmacy is common among this population.

What are the criteria for a study to be excluded?

Studies were excluded if they met the following criteria: 1 (1)#N#repeated publications; 2 (2)#N#inability to obtain full text or data; and 3 (3)#N#reviews, cross-sectional studies, commentaries, and letters.

What is a PPI?

Background: Proton pump inhibitors (PPIs) are an established kind of drugs used to the treatment of most acid-related diseases. Some prospective studies have noticed that PPI use was associated with increased dementia risk. However, the results of those studies were inconsistent and controversial.

Is PPI safe for elderly?

Considering its safety and relatively lower incidence of adverse effects, the use of PPI has significantly increased over the last decades.[3] However, some observational studies have shown that there are 40% to 60% of PPI prescriptions may pose a risk to the elderly persons.

What is the purpose of PPIs?

Proton pump inhibitors (PPIs) which can suppress the secretion of gastric acid by inhibiting the H+/K+ ATPase present on the plasma membrane of the gastric parietal cells are widely prescribed class of medications for treatment of acid-related disorders such as gastroesophageal reflux and peptic ulcer.[1]

Does B12 affect cognitive function?

Furthermore, decreased gastric acid increases the PH in the small bowel, which allows bacterial overgrowth and competition for uptake of vitamin B12, further reducing vitamin B12 availability.[37] In a population-based sample, Lam et al[5]pointed out that vitamin B12 deficiency negatively affects cognitive function.

What is PPI assessment?

The definition of PPI use varies from study to study mostly based on medicine records or self-reports of patients. Outcome assessments were from a variety of sources, including medical records, self-reports, and hospital databases. One of included study[30]failed to give the definition and ascertainment of PPI use.

Can you take PPI indefinitely?

Discontinuing proton pump inhibitors abruptly can lead to horrific rebound hyperacidity and heartburn. Some people may have to take PPIs indefinitely. That may because of a serious underlying medical condition that requires a PPI. That said, doctors need to pay attention to the Swedish research.

Why is ACh important?

Remember, ACh is essential for normal brain function. When levels of acetylcholine drop, people have trouble thinking or remembering. It turns out that PPIs are potent inhibitors of ChAT. That means levels of ACh could drop if people take PPIs for long periods of time.

What are the names of the drugs that inhibit enzymes?

These acid-suppressing drugs sold under the brand names Prevacid, Prilosec, Aciphex, and Nexium are potent inhibitors of an enzyme crucial for the synthesis of acetylcholine (ACh).

Who is Joe Graedon?

Joe Graedon is a pharmacologist who has dedicated his career to making drug information understandable to consumers. His best-selling book, The People’s Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site.

Is esomeprazole available over the counter?

Physicians loved these acid suppressors and prescribed them in huge quantities to help cure ulcers as well as to ease symptoms of indigestion. Now, some popular PPIs are available over the counter.

Can weight loss help with acid reflux?

A. People don’ t always realize that weight loss can reduce symptoms of acid reflux ( Annals of the New York Academy of Sciences, Sep. 17, 2020 ). Congratulations on your success in dropping the weight and discontinuing the medication, since neither is easy to do.

Can Nexium cause diabetes?

Scientists have recently discovered that long term use of proton pump inhibitors such as esomeprazole ( Nexium) or lansoprazole ( Prevacid) can increase the risk of developing type 2 diabetes ( Gut, online Sept. 2, 2020 ). The investigators recommend that doctors “exercise caution” when prescribing such drugs over the long term.

Is omeprazole overprescribed?

Prescriptions have soared, prompting research that often found that PPIs had been overprescribed. Then some studies found a link between proton pump inhibitors and dementia in people age 75 and older. Both omeprazole and lansoprazole cross the blood-brain barrier, which means they could directly affect the brain.

What is the best medicine for reflux?

Proton pump inhibitors (PPIs)—omeprazole (Prilosec) or lansoprazole (Prevacid) are two common names—treat reflux by cutting your body’s production of acid. They have also been prescribed for ulcers, though there’s less evidence to back up that strategy.

Can P.P.I. cause bone fractures?

The Food and Drug Administration has issued numerous warnings about P.P.I.’s: long-term use and high doses may promote bone fractures or Clostridium difficile infection, an intestinal problem that is hard to handle, especially for the elderly.

What percentage of people use PPIs?

Eighteen percent of them used PPIs occasionally and eight percent used them regularly. Compared to the majority, who didn’t use PPIs, the people who did at least occasionally were older, and more likely to have other health issues—including heart disease, diabetes, and depression.

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