Comparison of efficacy of daily and alternate day maintenance treatment of GERD with Vonoprazan 10-mg using Gastroesophageal Reflux Disease Symptom Assessment Scale

Keywords: Gastroesophageal Reflux Disease Symptom Assessment Scale (GSAS), GERD, Vonoprazan

Abstract

Objectives: To compare efficacy of 10-mg of vonoprazan daily & on alternate days by Gastroesophageal Reflux Disease Symptom Assessment Scale (GSAS)

Method: This prospective interventional cohort was done at Department of Medicine/Gastroenterology Dow Medical College, Karachi, Pakistan during the period August 2022 & January 2023. Potential participants fulfilling inclusion and exclusion criteria were asked to fill out GSAS questionnaires after their written consent. Patients were allocated in to two groups using random tables. Group-A was given Tab Vonoprazan 10-mg daily for two weeks. Group-B was given Tab Vonoprazan 10-mg on alternate day. GSAS was scored by totaling scores across symptoms and then they are divided by the total number of non-missing symptom scores. Both groups were assessed week-0 & week-2.

Results: Only 90 proformas that were completely filled were included, Group-A had 30 males and 15 females while Group-B had 29 males and 16 females. No significant difference in score was found in GSAS score at week-0 except that in item ‘gurgling’ while at week two there was no significant difference between any of the items. Total GSAS score were significantly lower at Week-2 than at week-0 (p = <.001).

Conclusions: Vonoprazan of 10-mg on alternate day is equally effective as 10-mg daily in maintenance of GERD patients at two weeks.

doi: https://doi.org/10.12669/pjms.40.4.8063

How to cite this: Rasheed T, Zuberi BF, Ali FS, Hussain SM, Kumar P, Saleem A. Comparison of efficacy of daily and alternate day maintenance treatment of GERD with Vonoprazan 10-mg using Gastroesophageal Reflux Disease Symptom Assessment Scale. Pak J Med Sci. 2024;40(4):623-628. doi: https://doi.org/10.12669/pjms.40.4.8063

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Tazeen Rasheed, Dow University of Health Sciences, Karachi, Pakistan

Associate Professor
Department of Medicine, Dow Medical College

Bader Faiyaz Zuberi, Dow University of Health Sciences

Gastroenterologist and Hepatologist
Professor of Medicine
Chairman Department of Medicine
Director Institute of Clinical Sciences
Director Clinical Trials Unit
Dow Medical College
Karachi, Pakistan

Faiza Sadaqat Ali, Dow University of Health Sciences, Karachi, Pakistan

Senior Registrar

Dow Medical College

Sana Hussain, Dow University of Health Sciences, Karachi, Pakistan

Fellow Gastroenterology

Pawan Kumar, Dow University of Health Sciences, Karachi, Pakistan

Assistant Professor

Anoshia Saleem, Dr Ruth KM Pfau Civil Hospital, Karachi, Pakistan

Medical Officer

Published
2024-02-03
How to Cite
Rasheed, T., Zuberi, B. F., Ali, F. S., Hussain, S., Kumar, P., & Saleem, A. (2024). Comparison of efficacy of daily and alternate day maintenance treatment of GERD with Vonoprazan 10-mg using Gastroesophageal Reflux Disease Symptom Assessment Scale. Pakistan Journal of Medical Sciences, 40(4). https://doi.org/10.12669/pjms.40.4.8063
Section
Original Articles

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