{"id":2840,"date":"2018-10-17T19:07:11","date_gmt":"2018-10-17T17:07:11","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/dont-routinely-prescribe-proton-pump-inhibitors-ppi-for-gastrointestinal-bleeding-profilaxis-in-patient-with-single-drug-antiplatelet-therapy-in-absence-of-additional-risk-factors\/"},"modified":"2020-09-10T17:54:04","modified_gmt":"2020-09-10T15:54:04","slug":"dont-routinely-prescribe-proton-pump-inhibitors-ppi-for-gastrointestinal-bleeding-profilaxis-in-patient-with-single-drug-antiplatelet-therapy-in-absence-of-additional-risk-factors","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/dont-routinely-prescribe-proton-pump-inhibitors-ppi-for-gastrointestinal-bleeding-profilaxis-in-patient-with-single-drug-antiplatelet-therapy-in-absence-of-additional-risk-factors\/","title":{"rendered":"Don\u2019t routinely prescribe proton pump inhibitors (PPI) for gastrointestinal bleeding profilaxis in patient with single drug antiplatelet therapy in absence of additional risk factors"},"content":{"rendered":"<p>Gastrointestinal (GI) bleeding risk is increased in presence of double antiplatelet treatment. Risk factors for GI bleeding are: previous GI bleeding, peptic ulcer, advanced age, NSAIDs or steroid drugs use, oral anticoagulant therapy. In absence of risk factors, PPI therapy is not warranted for single drug antiplatelet treatment.<\/p>\n","protected":false},"featured_media":4890,"template":"","meta":{"_edit_lock":["1599753253:2"],"_edit_last":["2"],"_thumbnail_id":["4890"],"_wpml_word_count":["{\"total\":225,\"to_translate\":{\"it\":225}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["109"],"_yoast_wpseo_primary_tipologia":[""],"_wpml_media_duplicate":["0"],"_wpml_media_featured":["0"],"_yoast_wpseo_content_score":["60"],"_yoast_wpseo_focuskeywords":["[]"],"_yoast_wpseo_keywordsynonyms":["[\"\"]"],"_wpml_location_migration_done":["1"],"_layouts_template":["layout-for-raccomandazioni-professionista"],"_wp_page_template":["default"],"_yst_prominent_words_version":["1"],"_wpv_contains_gutenberg_views":[""],"wpcf-pacchetto":["AICPR #1"],"wpcf-bibliografia":["1. ACCF\/ACG\/AHA 2008 Expert Consensus Document on Reducing the Gastrointestinal Risks of Antiplatelet Therapy and NSAID Use. 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