Effects of dexlansoprazole: A Synthesis of Findings from 26 Studies
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This analysis is based on research papers included in PubMed, but medical research is constantly evolving and may not fully reflect the latest findings. There may also be biases towards certain research areas.
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Major Research Findings
Dexlansoprazole is a proton pump inhibitor (PPI) used to treat acid-related disorders. 22 found that PPIs, including dexlansoprazole, are affected by each patient's CYP2C19 and gastric H+,K+-ATPase genotype, influencing their pharmacokinetics and pharmacodynamics. 5 found that dexlansoprazole MR, a dual delayed-release formulation of a PPI, led to moderate increases in plasma gastrin levels in healthy subjects. 8 found that esomeprazole, another PPI, exhibited protective effects against cisplatin-induced ototoxicity. 19 found that dexlansoprazole caused morphological changes in the nematode C. elegans, suggesting potential off-target effects. 2 found that higher body mass index (BMI) is a risk factor for gastroesophageal reflux disease (GERD) and may affect the response to PPI therapy. 1 investigated the bioavailability of a dexlansoprazole delayed-release orally disintegrating tablet, examining the effects of food and mode of administration. 10 suggested that long-term use of PPIs, including dexlansoprazole, may increase the risk of gastric cancer. 13 discussed the clinical efficacy of PPIs initiated before endoscopy in patients with upper gastrointestinal bleeding. 21 found that PPIs enhance the antiviral activity of acyclovir against herpes simplex virus. 9 suggested that dexlansoprazole may have antiviral activity against SARS-CoV-2. 23 described the development of dexlansoprazole delayed-release capsules. 11 discussed the association between PPI use and bone health, particularly long-term use. 7 investigated the long-term efficacy of high-dose PPIs with cryotherapy for Barrett's esophagus. 12 evaluated the reported association between the syndrome of inappropriate antidiuretic hormone secretion (SIADH) and PPI use. 6 performed a network meta-analysis to compare the nocturnal acid-inhibitory effects of various acid-suppressive drugs. 20 compared the efficacy of reverse hybrid therapy and concomitant therapy for Helicobacter pylori infection. 18 compared the efficacy of clarithromycin triple therapy with or without N-acetylcysteine for Helicobacter pylori infection. 15 investigated the interaction between PPIs and clopidogrel. 16 compared the efficacy and safety of 7-day and 10-day levofloxacin-dexlansoprazole triple therapy for Helicobacter pylori infection. 24 evaluated the effect of dexlansoprazole and esomeprazole on bone homeostasis in healthy postmenopausal women. 25 evaluated the effect of six PPIs on the antiplatelet effects of clopidogrel. compared H2-receptor antagonists and PPIs for GERD and peptic ulcer disease. 14 investigated the association between PPI use and acute kidney injury and chronic kidney disease. 17 estimated the use of potentially inappropriate medications among older adults in the United States. provided comparison tables of H2-receptor antagonists and PPIs.
Benefits and Risks
Benefits Summary
Dexlansoprazole, a proton pump inhibitor (PPI), effectively reduces stomach acid production, potentially relieving symptoms such as heartburn and acid reflux. 23 found that a dual delayed-release formulation of dexlansoprazole showed extended duration of therapeutic plasma drug concentrations compared to a conventional lansoprazole formulation. 20 found that reverse hybrid therapy was non-inferior to concomitant therapy for first-line treatment of Helicobacter pylori infection. 18 suggested that adding N-acetylcysteine to clarithromycin triple therapy for Helicobacter pylori infection may improve its efficacy. 21 found that PPIs, including dexlansoprazole, can enhance the antiviral activity of acyclovir against herpes simplex virus, making them potential candidates for combination therapy. 8 suggests that esomeprazole, another PPI, may protect against cisplatin-induced ototoxicity. While dexlansoprazole, like other PPIs, is effective for many patients, potential side effects should be considered.
Risks Summary
Dexlansoprazole, like other PPIs, carries a risk of side effects. 14 found a potential association between PPI use and acute kidney injury and chronic kidney disease. 11 highlighted the potential association between long-term PPI use and osteoporotic fractures. 12 investigated the reported association between PPI use and the syndrome of inappropriate antidiuretic hormone secretion (SIADH). 17 estimated the use of potentially inappropriate medications among older adults in the United States. 22 highlighted the impact of CYP2C19 and gastric H+,K+-ATPase genotype on the pharmacokinetics and pharmacodynamics of PPIs. 5 found that dexlansoprazole can increase plasma gastrin levels. Long-term or high-dose use should be carefully considered, and dexlansoprazole, like many effective drugs, carries potential side effects.
Comparison of Studies
Commonalities of Studies
Many studies have consistently shown that dexlansoprazole is effective in reducing stomach acid production. 23 found that a dual delayed-release formulation of dexlansoprazole showed extended duration of therapeutic plasma drug concentrations compared to a conventional lansoprazole formulation. 20 found that reverse hybrid therapy was non-inferior to concomitant therapy for first-line treatment of Helicobacter pylori infection. 18 suggested that adding N-acetylcysteine to clarithromycin triple therapy for Helicobacter pylori infection may improve its efficacy. 21 found that PPIs, including dexlansoprazole, can enhance the antiviral activity of acyclovir against herpes simplex virus, making them potential candidates for combination therapy. 8 suggests that esomeprazole, another PPI, may protect against cisplatin-induced ototoxicity.
Differences in Studies
Different studies have yielded varying results regarding the effects and safety of dexlansoprazole. 14 found a potential association between PPI use and acute kidney injury and chronic kidney disease. 11 highlighted the potential association between long-term PPI use and osteoporotic fractures. 12 investigated the reported association between PPI use and the syndrome of inappropriate antidiuretic hormone secretion (SIADH). 17 estimated the use of potentially inappropriate medications among older adults in the United States. 22 highlighted the impact of CYP2C19 and gastric H+,K+-ATPase genotype on the pharmacokinetics and pharmacodynamics of PPIs. 5 found that dexlansoprazole can increase plasma gastrin levels.
Consistency and Discrepancies in Findings
There are discrepancies in findings regarding the effects and safety of dexlansoprazole. 14 found a potential association between PPI use and acute kidney injury and chronic kidney disease. 11 highlighted the potential association between long-term PPI use and osteoporotic fractures. 12 investigated the reported association between PPI use and the syndrome of inappropriate antidiuretic hormone secretion (SIADH). 17 estimated the use of potentially inappropriate medications among older adults in the United States. 22 highlighted the impact of CYP2C19 and gastric H+,K+-ATPase genotype on the pharmacokinetics and pharmacodynamics of PPIs. 5 found that dexlansoprazole can increase plasma gastrin levels. Further research is needed to draw definitive conclusions about the long-term effects and potential risks.
Considerations for Real-World Applications
Dexlansoprazole is effective in reducing stomach acid and can alleviate symptoms like heartburn and acid reflux. 23 found that a dual delayed-release formulation of dexlansoprazole showed extended duration of therapeutic plasma drug concentrations compared to a conventional lansoprazole formulation. 20 found that reverse hybrid therapy was non-inferior to concomitant therapy for first-line treatment of Helicobacter pylori infection. 18 suggested that adding N-acetylcysteine to clarithromycin triple therapy for Helicobacter pylori infection may improve its efficacy. 21 found that PPIs, including dexlansoprazole, can enhance the antiviral activity of acyclovir against herpes simplex virus, making them potential candidates for combination therapy. 8 suggests that esomeprazole, another PPI, may protect against cisplatin-induced ototoxicity. However, it's essential to remember that, like other PPIs, dexlansoprazole carries a risk of side effects. 14 found a potential association between PPI use and acute kidney injury and chronic kidney disease. 11 highlighted the potential association between long-term PPI use and osteoporotic fractures. 12 investigated the reported association between PPI use and the syndrome of inappropriate antidiuretic hormone secretion (SIADH). 17 estimated the use of potentially inappropriate medications among older adults in the United States. 22 highlighted the impact of CYP2C19 and gastric H+,K+-ATPase genotype on the pharmacokinetics and pharmacodynamics of PPIs. 5 found that dexlansoprazole can increase plasma gastrin levels. Dexlansoprazole should only be used as directed by a healthcare professional.
Limitations of Current Research
There are gaps in our understanding of the long-term effects and safety of dexlansoprazole. 14 found a potential association between PPI use and acute kidney injury and chronic kidney disease. 11 highlighted the potential association between long-term PPI use and osteoporotic fractures. 12 investigated the reported association between PPI use and the syndrome of inappropriate antidiuretic hormone secretion (SIADH). 17 estimated the use of potentially inappropriate medications among older adults in the United States. 22 highlighted the impact of CYP2C19 and gastric H+,K+-ATPase genotype on the pharmacokinetics and pharmacodynamics of PPIs. 5 found that dexlansoprazole can increase plasma gastrin levels. More research is needed to address these limitations.
Future Research Directions
Further investigation is needed to better understand the effects and safety of dexlansoprazole, particularly its long-term impacts and potential risks. 14 found a potential association between PPI use and acute kidney injury and chronic kidney disease. 11 highlighted the potential association between long-term PPI use and osteoporotic fractures. 12 investigated the reported association between PPI use and the syndrome of inappropriate antidiuretic hormone secretion (SIADH). 17 estimated the use of potentially inappropriate medications among older adults in the United States. 22 highlighted the impact of CYP2C19 and gastric H+,K+-ATPase genotype on the pharmacokinetics and pharmacodynamics of PPIs. 5 found that dexlansoprazole can increase plasma gastrin levels. More extensive and long-term studies are crucial to address the concerns raised by previous research.
Conclusion
Dexlansoprazole is a PPI that effectively reduces stomach acid, offering relief from symptoms such as heartburn and acid reflux. 23 found that a dual delayed-release formulation of dexlansoprazole showed extended duration of therapeutic plasma drug concentrations compared to a conventional lansoprazole formulation. 20 found that reverse hybrid therapy was non-inferior to concomitant therapy for first-line treatment of Helicobacter pylori infection. 18 suggested that adding N-acetylcysteine to clarithromycin triple therapy for Helicobacter pylori infection may improve its efficacy. 21 found that PPIs, including dexlansoprazole, can enhance the antiviral activity of acyclovir against herpes simplex virus, making them potential candidates for combination therapy. 8 suggests that esomeprazole, another PPI, may protect against cisplatin-induced ototoxicity. However, it is essential to be aware of potential side effects and to use dexlansoprazole only as directed by a healthcare professional. 14 found a potential association between PPI use and acute kidney injury and chronic kidney disease. 11 highlighted the potential association between long-term PPI use and osteoporotic fractures. 12 investigated the reported association between PPI use and the syndrome of inappropriate antidiuretic hormone secretion (SIADH). 17 estimated the use of potentially inappropriate medications among older adults in the United States. 22 highlighted the impact of CYP2C19 and gastric H+,K+-ATPase genotype on the pharmacokinetics and pharmacodynamics of PPIs. 5 found that dexlansoprazole can increase plasma gastrin levels. Further research is needed to fully understand the long-term implications and potential risks associated with dexlansoprazole.
Benefit Keywords
Risk Keywords
Article Type
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