PMID- 23292040 OWN - NLM STAT- MEDLINE DCOM- 20130930 LR - 20211021 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 270 IP - 4 DP - 2013 Mar TI - The effect of itopride combined with lansoprazole in patients with laryngopharyngeal reflux disease. PG - 1385-90 LID - 10.1007/s00405-012-2341-8 [doi] AB - The objective of this study is to determine the efficacy of adding a prokinetic agent to proton pump inhibitors (PPI) for the treatment of laryngopharyngeal reflux (LPR) disease. A prospective, randomized open trial comparing lansoprazole plus itopride to lansoprazole single therapy was performed for 12 weeks. Sixty-four patients with a reflux finding score (RFS) >7 and a reflux symptom index (RSI) >13 were enrolled and received either lansoprazole 30 mg once daily with itopride 50 mg three times daily or lansoprazole 30 mg once daily for 12 weeks. RSI and RFS were completed at baseline, after 6 weeks, and after 12 weeks. During the treatment period, RSI and RFS were significantly improved compared with the pretreatment scores in both study groups. Reductions of total RSI and globus symptom were significantly higher in the lansoprazole plus itopride group compared to the lansoprazole group. In the RFS, however, there were no significant differences between the two groups. In conclusion, itopride in addition to PPI did not show any superior RFS improvement compared to PPI single therapy, but was helpful in speeding up relief of reflux symptoms in LPR patients. Thus, itopride may be considered as the secondary additive agent in the PPI treatment of LPR patients. FAU - Chun, Byung-Joon AU - Chun BJ AD - Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. bj1000@catholic.ac.kr FAU - Lee, Dong-Soo AU - Lee DS LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20130105 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Anti-Ulcer Agents) RN - 0 (Benzamides) RN - 0 (Benzyl Compounds) RN - 0K5C5T2QPG (Lansoprazole) RN - 81BMQ80QRL (itopride) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles/*therapeutic use MH - Adult MH - Aged MH - Anti-Ulcer Agents/*therapeutic use MH - Benzamides/*therapeutic use MH - Benzyl Compounds/*therapeutic use MH - Drug Therapy, Combination MH - Female MH - Follow-Up Studies MH - Humans MH - Lansoprazole MH - Laryngopharyngeal Reflux/*drug therapy MH - Laryngoscopy MH - Male MH - Middle Aged MH - Prospective Studies MH - Young Adult EDAT- 2013/01/08 06:00 MHDA- 2013/10/01 06:00 CRDT- 2013/01/08 06:00 PHST- 2012/09/25 00:00 [received] PHST- 2012/12/18 00:00 [accepted] PHST- 2013/01/08 06:00 [entrez] PHST- 2013/01/08 06:00 [pubmed] PHST- 2013/10/01 06:00 [medline] AID - 10.1007/s00405-012-2341-8 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2013 Mar;270(4):1385-90. doi: 10.1007/s00405-012-2341-8. Epub 2013 Jan 5.