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PUBLICATION DETAILS
Publication Date
June 2004

I.S.B.N. (print)
0-476-00358-8
I.S.B.N. (electronic)
0-476-00461-6

DEVELOPED BY
New Zealand Guidelines Group (NZGG)
Level 10, Cigna House
40 Mercer Street
PO Box 10 665
Wellington
NEW ZEALAND

Phone: +64 4 471 4180
Fax: +64 4 471 4185
E-mail: info@nzgg.org.nz


ENDORSED BY
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New Zealand Guidelines Group
Heart Foundation
Cardiac Society of Australia & New Zealand
Pharmaceutical Society of New Zealand
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Management of Dyspepsia and Heartburn
On September 30, 2004, Vioxx (rofecoxib) was withdrawn from the U.S. and worldwide market due to safety concerns of an increased risk of cardiovascular events. See the U.S. Food and Drug Administration (FDA) Web site for more information. Subsequently, on December 23, 2004, the FDA issued a public health advisory concerning the use of non-steroidal anti-inflammatory drug products (NSAIDs) including the COX-2 selective agents Celebrex (celecoxib), Bextra (valdecoxib) and a non-selective NSAID, naproxen (sold as Aleve, Naprosyn and other trade name and generic products). See the FDA web site for more information.
Alternative analgesics/anti-inflammatories should be considered first. Co-therapy may be required to prevent adverse effects (eg, dyspepsia, gastrointestinal bleeding) in selected at-risk patients, The COX-2 drugs listed above should only be used after careful consideration of the risks, benefits and costs related to each specific patient where this choice is made.
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 FULL TEXT GUIDELINE
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 SUMMARY DOCUMENT(S)
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Management of Dyspepsia and Heartburn – Summary
PDF Format (623 k)
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 ALGORITHMS
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Dyspepsia and/or Heartburn: Initial Evaluation

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Peptic Ulcer

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NSAIDS and GI Complications

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Undifferentiated Dyspepsia

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GORD
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 APPENDICES
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Appendix A: Questionnaire for People with Gastro-oesophageal Reflux Disease

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Appendix B: Recommended Medication for Heartburn and/or Dyspepsia

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Appendix C: Patient Information Sheet: I have dyspepsia (indigestion) – what does that mean?
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 CONSUMER RESOURCES - Click to view
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 MEDIA RELEASES - Click to view
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 FAQs - Click to view
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 COMMENTS - Click to view
We encourage readers to use this area to submit comments about the guidelines and to draw our attention to errors that inevitably will have been made in a project of this scope.
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 REQUEST THIS GUIDELINE - Order a printed version
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 STATEMENT OF INTENT - Click to view
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 COPYRIGHT - Click to view
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