Proton Pump Inhibitors · Pharmacology

Which of the following electrolytes is most commonly depleted with chronic, high-dose PPI therapy, potentially leading to tetany or arrhythmias?

  1. Sodium
  2. Calcium
  3. Magnesium
  4. Chloride
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Correct answer: Magnesium

Chronic PPI use can lead to hypomagnesemia, likely due to interference with magnesium absorption in the intestine. This effect is rare but can be severe, requiring magnesium supplementation and discontinuation of the PPI.

Difficulty: Medium Question 7 of 20

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