PMID- 24874283 OWN - NLM STAT- MEDLINE DCOM- 20150514 LR - 20220409 IS - 1502-7708 (Electronic) IS - 0036-5521 (Linking) VI - 49 IP - 9 DP - 2014 Sep TI - Use of antacids, alginates and proton pump inhibitors: a survey of the general Danish population using an internet panel. PG - 1044-50 LID - 10.3109/00365521.2014.923504 [doi] AB - OBJECTIVE: Both over-the-counter medicine, such as antacids or alginates, and proton pump inhibitors (PPI) are used for treating acid-related disorders. We sought to describe what characterizes users of these different medicines, including long-term PPI users within the general population. METHOD: A cross-sectional survey was conducted in an internet panel representative of the Danish adult population in 2012. Data queried included antacid/alginate and PPI use, reason for therapy, co-medication, and presence of upper gastrointestinal symptoms. Long-term PPI use was defined as using PPI >/=1/3 of the last year ( approximately 120 days). Risk of long-term PPI use was estimated by logistic regression. RESULTS: A total of 18,223 people received the questionnaire, of which 52% (9390) responded. Antacid/alginate use was reported by 23%; 16% reported use of only antacid/alginate. PPI use was reported by 13.6%; 6.2% were defined as long-term PPI users. Antacid/alginate users were younger, used less co-medication, had most often started on therapy because of reflux symptoms, and had less often ongoing symptoms. Risk of long-term PPI use appeared to be increased in male gender, by renewing PPI prescription by phone/e-mail, using co-medication, and having started on PPI for several reasons. Combination of antacid/alginate and PPI was reported by approximately 50% of those on therapy with weekly or daily symptoms. CONCLUSION: 23% of Danish adults were using antacids or alginates and 14% were using PPI, of which one-half were on long-term therapy. Prescription renewal by phone or e-mail and use of other prescription medication were associated with long-term PPI use, indicating a behavioral pattern, in which unnecessary PPI therapy may be maintained. FAU - Lodrup, Anders AU - Lodrup A AD - Department of Medicine, Koge Hospital , Koege , Denmark. FAU - Reimer, Christina AU - Reimer C FAU - Bytzer, Peter AU - Bytzer P LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140530 PL - England TA - Scand J Gastroenterol JT - Scandinavian journal of gastroenterology JID - 0060105 RN - 0 (Alginates) RN - 0 (Antacids) RN - 0 (Proton Pump Inhibitors) SB - IM MH - Age Factors MH - Alginates/*therapeutic use MH - Antacids/*therapeutic use MH - Cross-Sectional Studies MH - Denmark MH - Drug Prescriptions/statistics & numerical data MH - Drug Therapy, Combination/statistics & numerical data MH - Female MH - Gastroesophageal Reflux/complications/*drug therapy MH - Humans MH - Internet MH - Male MH - Middle Aged MH - Proton Pump Inhibitors/*therapeutic use MH - Sex Factors MH - Surveys and Questionnaires MH - Time Factors OTO - NOTNLM OT - alginate OT - antacid OT - dyspepsia OT - general population OT - internet panel OT - over-the-counter medicine OT - proton pump inhibitor OT - reflux EDAT- 2014/05/31 06:00 MHDA- 2015/05/15 06:00 CRDT- 2014/05/31 06:00 PHST- 2014/05/31 06:00 [entrez] PHST- 2014/05/31 06:00 [pubmed] PHST- 2015/05/15 06:00 [medline] AID - 10.3109/00365521.2014.923504 [doi] PST - ppublish SO - Scand J Gastroenterol. 2014 Sep;49(9):1044-50. doi: 10.3109/00365521.2014.923504. Epub 2014 May 30.