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Jan 2020

Proton Pump Inhibitor Use


Proton Pump Inhibitors (PPIs) can contribute to polypharmacy-related adverse reactions, medication errors, drug interactions, emergency department visits and hospitalizations when they are used inappropriately. The Managing Proton Pump Inhibitor Use in Older Adults Tool helps primary care providers assess and discuss with their patients (aged 65+) the benefits and risks of PPIs.

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About the tool

Divided into four sections, the Managing Proton Pump Inhibitor Use in Older Adults Tool can help guide discussions and assessments with patients about the potential advantages and harms relating to PPI use among patients aged 65+. The tool outlines potential risks and benefits, steps to discontinuing use, ways to safely start and continue use, and alternatives to PPIs.

The Managing Proton Pump Inhibitor Use in Older Adults Tool was developed using the Centre for Effective Practice’s (CEP’s) integrated knowledge translation approach. This approach ensures that providers are engaged throughout the development processes through the application of user-centered design methodology. Clinical leadership of the resource was provided by Dr. Felicia Presenza. End users and clinical experts were also engaged to provide feedback.

The tool is one of several clinical tools developed as part of the Knowledge Translation in Primary Care Initiative. This multi-year initiative is a collaboration between the Centre for Effective PracticeOntario College of Family Physicians (OCFP), and Nurse Practitioners’ Association of Ontario (NPAO). Funded by the Ministry of Health and Long-Term Care, this initiative supports primary care providers with the development of a series of clinical tools and health information resources. Learn more about the Knowledge Translation in Primary Care Initiative (KTinPC).

Clinical leads

  • Felicia Presenza


    Dr. Felicia Presenza is a care of the elderly physician working in Sudbury, ON. She works at St. Joseph’s Continuing Care Centre on the rehab floor, and also provides dementia care at memory clinics. She has a geriatric-focused family practice and is faculty with The Review Course helping family medicine residents prepare for their CCFP exam.

    Dr. Presenza provided clinical leadership for the benzodiazepine use in older adults topic and the fall prevention and management topic and was offered compensation for her role. 

Clinical Working Group

  • Dr. Jane Cox, MD, CCFP
  • Debora Steele, MScN, NP-PHC, CPMHNC(C), GNC(C)

  • Katherine Trip, MN, NP
  • Michael Schroder, MPH, RN(EC)

Clinical Working Group members were offered an honorarium for their participation. Thank you to all of our members for their work!

Conflict of Interest

Focus group and usability participants received a small token of appreciation (e.g. gift certificate).

Expert Reviewers

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