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CAPÍTULO 42 REFLUJO GASTROESOFÁGICO 473

®
®
Iansoprazol (Prevacid ): 15-30 mg/v.o. a la Famotidien (Pepcid ): 20 mg cada 12 h
hora de acostarse. o 40 mg a la hora de acostarse.
• Precaución Son de utilidad los antiácidos de venta sin
receta, como el carbonato de calcio, el
C 1
En los ancianos, el uso prolongado de un hidróxido de aluminio y el hidróxido de
tratamiento supresor del ácido puede magnesio.
provocar una absorción deficiente de
vitamina B (B 12 ) y un mayor riesgo de
neumonía por broncoaspiración. ■ Tratamiento quirúrgico
• En personas con síntomas intratables, se
• Antagonistas del AR H 2
A A 2 2 considerará la funduplicatura.
C 3 3
Ranitidina (Zantac ): 150 mg cada 12 h
®
o 300 mg a la hora de acostarse.

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