H2 Blockers · Pharmacology

Which of the following describes the 'acid rebound' phenomenon associated with H2RAs?

  1. Permanent shutdown of gastric acid production
  2. A surge in acid secretion when therapy is stopped
  3. Acid traveling back up into the esophagus
  4. The drug itself turning into acid within the stomach
Show answer and explanation

Correct answer: A surge in acid secretion when therapy is stopped

Similar to PPIs, chronic H2RA use can lead to hypergastrinemia as the body tries to compensate for the higher pH. Upon discontinuation, this excess gastrin can cause a temporary spike in acid production.

Difficulty: Medium Question 19 of 20

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