PPI still dominates ombudsman's in-tray. PPI claim deadline proposed for Banks face up to old and new complaints. Image source, PA. It is believed that many more are yet to come forward. What is PPI? Process 'wholly inadequate'. Another chance to claim. Related Topics. You have the choice of making a claim yourself or using a reputable PPI claims company. To submit a claim yourself, you need to find evidence of the PPI policy and contact the bank with a statement of how it was mis-sold to you.
Alternatively, you can use a PPI claims company, which will handle the case for you. A company can take the stress out of making a claim by identifying old PPI policies and communicating with the bank on your behalf. Logican creates software for the best PPI claims companies to allow them to process as many claims as possible before the deadline. Logican blog Powerful business process management software. Getting compensation can be a quick and easy — and there is no need to use expensive claims handling company.
Reclaiming mis-sold payment protection insurance can be a quick and easy process. If you took out any kind of consumer loan, store card, credit card or mortgage in the s or s, you may have been mis-sold PPI.
Go back through all your old loan and mortgage statements and check for any mention of an insurance to cover your payments if you lost your job through accident, sickness or unemployment. Many lenders will now tell you if you call them up to ask whether you had PPI. Caution should be taken when coadministering with other agents that may lower magnesium levels, such as digoxin and diuretics.
There have been some data to suggest an association between long-term PPI use and vitamin B 12 deficiency, especially in the elderly. Malabsorption of vitamin B 12 may result from atrophic gastritis and achlorhydria, promoting bacterial overgrowth that allows for the increased digestion of cobalamin. Most patients who consume a normal diet probably will not experience any significant B 12 deficiency. Recent data has suggested a link between PPI use and dementia.
The possibility of reduced levels of vitamin B 12 and other nutrients may also play a role in the increased risk of dementia. Drug-induced lupus erythematosus DILE is a lupus-like syndrome that usually resolves after discontinuation of the medication. This condition is characterized by annular and papulosquamous skin lesions, typically occurring on sun-exposed areas of the body, including the neck, back, shoulders, and upper extremities.
Several significant drug interactions are associated with PPIs due to their ability to dramatically reduce gastric acid production and raise gastric pH. Medications that require an acidic environment for absorption may have reduced oral bioavailability in patients treated with PPIs.
Some examples of agents that may be affected and have reduced efficacy include, but are not limited to, itraconazole, ketoconazole, isoniazid, oral iron supplements, and several protease inhibitors. If alternative therapies cannot be used, patients receiving these medications should be counseled to take them towards the end of the PPI dosing interval and be monitored for appropriate responses to therapy. Several studies have suggested that PPIs may inhibit the hepatic cytochromes involved in the metabolism of certain medications, raising concerns of additional drug interactions.
Recently, attention has focused on the potential of PPIs to inhibit CYP2C19 and adversely affect the prodrug clopidogrel from being metabolized to its active form.
PPIs have revolutionized the management of acid-related diseases. There is strong evidence supporting their superior efficacy and overall safety profile. Unfortunately, this has also led to their overuse and inappropriate use. When used appropriately, the overall benefits significantly outweigh the potential risks in most patients.
Almost half of all patients taking a PPI do not have a clear indication. It is important to note, however, that most studies published have been observational in nature and do not necessarily suggest a causal relationship. Pharmacists are in an ideal position to ensure appropriate and effective use and reduce PPI overuse. Through effective counseling and provision of medication therapy management sessions, pharmacists can ensure that PPI use is associated with appropriate indications utilizing the lowest effective dose for the shortest duration possible.
PPIs are a class of medications that help reduce the amount of acid that your stomach makes. Several common conditions for which they can be used include heartburn and the treatment and prevention of stomach ulcers.
Currently, there are six PPIs available: dexlansoprazole Dexilant , esomeprazole Nexium , lansoprazole Prevacid , omeprazole Prilosec , pantoprazole Protonix , and rabeprazole Aciphex. All are available by prescription. You should be sure to read the label or product packaging and follow the directions for use.
However, generally speaking, these products are taken by mouth once daily, 30 to 60 minutes before breakfast. PPIs are generally well tolerated. The most common side effects reported include headache, diarrhea, nausea, and vomiting. Reports of more serious side effects include kidney disease, fractures, infections and vitamin deficiencies, but these are very rare and are generally associated with long-term use using these products for more than a year.
PPIs may make some medications less effective by reducing their absorption from the stomach. Be certain to read the product packaging carefully and to consult with your pharmacist before using these agents with other prescription and OTC products, including vitamin and nutrition supplements.
OTC products should not be used for more than 2 weeks unless you are told to do so by your healthcare provider. You should not abruptly discontinue the use of prescription products unless you are told to do so by your healthcare provider, since you may experience heartburn and other related stomach symptoms.
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