J.G. is a 42-year-old man presenting with a 2-month history of intermittent midepigastric pain. The pain sometimes wakes him up at night and seems to get better after he eats a meal. J.G. informs you that his doctor told him that he had an infection in his stomach 6 months ago. He never followed up and has been taking over-the-counter Zantac 75 mg for 2 weeks without relief. He takes no other medications. He is concerned because the pain is continuing. He has no other significant history except he is a 20 pack-year smoker and he drinks 5 cups of coffee a day. He eats late at night and goes to bed about 30 minutes after dinner. He is allergic to penicillin. 1. What diagnosis do you think J.G. has? 2. What are the goals of treatment for J.G.? 3. What medication would you recommend to the physician for J.G.? Why? 4. What lab values would you want to monitor for J.G.? Why? 5. For the medication you chose in #3, list two adverse reactions that suggests the medication should be stopped if the patient experienced these reactions. 6. For the medication you chose in #3, how is it metabolized? 7. For the medication in #3, list two drug-drug or drug-food interactions for this medication. 8. What lifestyle changes would you recommend to J.G.?
[Solved]: J.G. is a 42-year-old man presenting with a 2-month his
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