Table 1 Electrolyte ADR odds ratios and 95% CIs of individual PPIs used as “monotherapy” (Rabeprazole n = 724, Lansoprazole n = 3,360, Pantoprazole n = 3,651, Esomeprazole n = 27,053, Omeprazole n = 7,749) when compared to all H2RAs (n = 8,309).

From: Analysis of postmarketing safety data for proton-pump inhibitors reveals increased propensity for renal injury, electrolyte abnormalities, and nephrolithiasis

ADR

PPIs

OR

95% CI lower

95% CI upper

Hypomagnesemia

Omeprazole

224.6

31.0

1600.0

Esomeprazole

30.2

4.2

220.0

Pantoprazole

115.4

16.0

840.0

Lansoprazole

82.4

11.0

600.0

Rabeprazole

151.9

20.0

1200.0

Hypocalcemia

Omeprazole

75.3

19.0

300.0

Esomeprazole

10.0

2.4

41.0

Pantoprazole

21.7

5.1

93.0

Lansoprazole

41.2

9.9

170.0

Rabeprazole

28.9

5.6

150.0

Hypokalemia

Omeprazole

15.8

6.3

39.0

Esomeprazole

3.1

1.2

7.7

Pantoprazole

6.4

2.3

18.0

Lansoprazole

11.0

4.1

29.0

Rabeprazole

2.3

0.3

20.0

Hyponatremia

Omeprazole

7.0

3.3

15.0

Esomeprazole

0.6

0.3

1.4

Pantoprazole

2.0

0.7

5.5

Lansoprazole

4.0

1.7

9.7

Rabeprazole

4.3

1.1

16.0

  1. Odds ratios were calculated comparing hypomagnesemia, hypocalcemia, hypokalemia, and hyponatremia adverse event report frequencies of individual PPIs to all H2RAs.