A patient has been taking famotidine (Pepcid) 20 mg bid to treat an ulcer but continues to have pain
The provider has ordered lansoprazole (Prevacid) 15 mg per day. The patient asks why the new drug is necessary, since it is more expensive. The nurse will explain that lansoprazole
a. can be used for long-term therapy.
b. does not interact with other drugs.
c. has fewer medication side effects.
d. is more potent than famotidine.
ANS: D
Famotidine is a histamine2 (H2) blocker. When patients fail therapy with these agents, proton pump inhibitors, which can inhibit gastric acid secretion up to 90% greater than the H2 blockers, are used. Lansoprazole is not for long-term treatment and has drug interactions and drug side effects as do all other medications.
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