Proton Pump Inhibitors · Pharmacology

To ensure maximal efficacy, when should a delayed-release oral PPI typically be administered?

  1. Immediately after a large meal
  2. 30 to 60 minutes before the first meal of the day
  3. Right before bedtime
  4. Only when symptoms of heartburn occur
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Correct answer: 30 to 60 minutes before the first meal of the day

PPIs should be taken before a meal so that peak drug levels coincide with the maximal activation of proton pumps by food. Since they only inhibit active pumps, pre-prandial dosing is essential for optimal acid suppression.

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