Antiacid monotherapy in epigastric pain

WE DIDN’T START THE FIRE BUT CAN ANTACID MONOTHERAPY STOP THE FIRE?

SGEM#302 - B admin - September 26, 2020 

Reference: Warren et al. Antacid monotherapy is more effective in relieving epigastric pain than in combination with lidocaine. A randomized double-blind clinical trial. AEM Sept 2020

"CLINICAL QUESTION: IS ANTACID MONOTHERAPY MORE EFFECTIVE IN RELIEVING EPIGASTRIC PAIN THAN IN COMBINATION WITH LIDOCAINE?

ALL THREE TREATMENTS (VISCOUS, SOLUTION OR ANTACID MONOTHERAPY) WORKED AND THERE WAS NO STATISTICAL DIFFERENCE BETWEEN GROUPS.

SGEM BOTTOM LINE: CONSIDER USING ANTACID MONOTHERAPY IN PLACE OF LIDOCAINE/ANTACID COMBINATION THERAPY FOR PATIENTS WITH DYSPEPSIA."