The diagnosis of asthma and more detailed management issues are reviewed elsewhere. (See "Diagnosis of asthma in adolescents and adults" and "Asthma in children younger than 12 years: Initial evaluation and diagnosis" and "Asthma in children younger than 12 years: Treatment of persistent asthma with controller medications" and "Treatment of intermittent and mild persistent asthma in adolescents and adults" and "Treatment of moderate persistent asthma in adolescents and adults" .)
In the meantime, these new data raise understandable concern over prolonged usage of acid-suppressive medications and we recognize our patients’ apprehension over this matter. Our practice evaluates each patient’s need for PPI use on a case by case basis. We consider potential risks involved and weigh them against the benefits that PPi therapy may provide. There are circumstances in which the usage of PPI therapy is essential and withdrawal of PPI therapy may lead to serious consequences, such as in patients on anticoagulation and patients with ulcer disease. We recommend using PPI therapy at the lowest possible dose and no longer than is absolutely necessary. Each patient on PPI therapy should be re-evaluated by a doctor every 3 months to determine the need for continued PPI use. Your long-term health is our absolute priority. We will continue to update you on the latest data in regards to PPI use as it becomes available.
Niacinamide, also known as nicotinamide, is a form of vitamin B3 that can provide a variety of health benefits when taken as a supplement. It can help relieve the discomforts of arthritis and asthma . People with diabetes may benefit from taking it, and it is even thought to help prevent the onset of type I diabetes. Another of the potential benefits of niacinamide is reduction of anxiety, depression, and other psychological issues, and it may also help delay the onset of Alzheimer's disease and Parkinson's disease. Skin conditions like acne and rosacea , as well as the effects of aging like wrinkles , may improve with the use of niacinamide.