PMID- 12428065 OWN - NLM STAT- MEDLINE DCOM- 20030530 LR - 20181130 IS - 0012-2823 (Print) IS - 0012-2823 (Linking) VI - 66 IP - 2 DP - 2002 TI - The clinical importance of proton pump inhibitor pharmacokinetics. PG - 67-78 AB - Achieving the optimal clinical response for patients with upper gastrointestinal peptic disease is important. This response depends on the pathology treated as well as on the choice of proton pump inhibitor. Here, we identify factors in specific disease therapy and proton pump inhibitor (PPI) pharmacokinetic and pharmacodynamic characteristics that help us achieve this goal. These include differences in PPI bioavailability and acid-suppressive effects. Available data indicate that PPIs appear to have similar potency on a milligram basis, and that omeprazole and lansoprazole are more frequently double dosed than pantoprazole. The lower propensity for double dosing with pantoprazole may also result in lower medication acquisition costs and a reduction in physician visits due to ineffective therapy with the standard dosing of these other agents. CI - Copyright 2002 S. Karger AG, Basel FAU - Yacyshyn, B R AU - Yacyshyn BR AD - Department of Medicine, Division of Gastroenterology, University of Alberta, Edmonton, Canada. bruce.yacyshyn@med.va.gov FAU - Thomson, A B R AU - Thomson AB LA - eng PT - Journal Article PT - Review PL - Switzerland TA - Digestion JT - Digestion JID - 0150472 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Anti-Ulcer Agents) RN - 0 (Benzimidazoles) RN - 0 (Proton Pump Inhibitors) RN - 0 (Sulfoxides) RN - D8TST4O562 (Pantoprazole) RN - KG60484QX9 (Omeprazole) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles MH - Anti-Ulcer Agents/administration & dosage/*pharmacokinetics/therapeutic use MH - Benzimidazoles/administration & dosage/*pharmacokinetics/therapeutic use MH - Cost Savings MH - Duodenal Ulcer/*drug therapy/metabolism MH - Gastroesophageal Reflux/drug therapy/*metabolism MH - Humans MH - Omeprazole/administration & dosage/*pharmacokinetics/therapeutic use MH - Pantoprazole MH - *Proton Pump Inhibitors MH - Sulfoxides/administration & dosage/*pharmacokinetics/therapeutic use RF - 93 EDAT- 2002/11/13 04:00 MHDA- 2003/05/31 05:00 CRDT- 2002/11/13 04:00 PHST- 2002/11/13 04:00 [pubmed] PHST- 2003/05/31 05:00 [medline] PHST- 2002/11/13 04:00 [entrez] AID - 65588 [pii] AID - 10.1159/000065588 [doi] PST - ppublish SO - Digestion. 2002;66(2):67-78. doi: 10.1159/000065588.