Question

A patient has been taking Ranitidine (Zantac) for the past 4 years due to a history of GERD. She would like to discontinue the medication after losing 20 lbs. and quitting smoking. The nurse practitioner tells the patient that:

a. You may stop the medication today
b. You need to taper the dose down to avoid rebound symptoms
c. You should wait to stop the medication until GERD symptoms have been resolved for at least 12 months
d. Treatment for GERD is lifelong

Answer 1

When discontinuing Ranitidine for GERD management after lifestyle changes, a nurse practitioner may recommend tapering the dose to prevent rebound symptoms. This should be done with consideration of the individual's current health status and under medical advice.

Step-by-step explanation:

A patient considering discontinuing Ranitidine (Zantac) after lifestyle changes raises an important question about managing GERD (gastroesophageal reflux disease). Ranitidine is an H₂-receptor antagonist that reduces the amount of acid produced in the stomach, thus alleviating symptoms of GERD and preventing heartburn. If a patient wishes to stop using Ranitidine after significant weight loss and quitting smoking, both of which can improve GERD symptoms, the nurse practitioner may suggest tapering the dose to avoid rebound symptoms. This gradual reduction helps the body adjust and can prevent the sudden return of acid reflux symptoms. In making this decision, it is also necessary to consider the individual's symptomatic relief and whether the underlying condition has been adequately controlled. It is not typically advised to abruptly stop the medication or assume that GERD treatment must be lifelong without a healthcare provider's input.