H2 Blockers · Pharmacology

Compared to Proton Pump Inhibitors (PPIs), H2 blockers are generally considered:

  1. More effective at inhibiting meal-stimulated acid
  2. Less effective at suppressing nocturnal acid secretion
  3. Less potent but faster-acting for episodic heartburn
  4. Irreversible in their binding to receptors
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Correct answer: Less potent but faster-acting for episodic heartburn

H2RAs have a more rapid onset of action than PPIs, making them useful for the 'as-needed' treatment of mild, episodic dyspepsia. However, they are less effective at overall 24-hour acid suppression.

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