Anyone take a PPI?

Posted by bigjohnscho @bigjohnscho, Aug 8, 2025

I have taken Lansoprazole for many years. Has it been definitively proven that PPI’s can cause peripheral neuropathy

Interested in more discussions like this? Go to the Neuropathy Support Group.

I have been on PPI originally it was called Prilosec now it is called omeprazole and I’ve been taking it since 1990. I take 40 mg twice daily sometimes three times daily. The neuropathy in my feet is so bad but I’ve been told it’s diabetes which I have type two but it’s always been controlled completely, so I’m not sure what’s caused it . It’d be interesting to know if PPI do cause this.

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Related discussions:
- Anyone seen research on long term Proton Pump Inhibitor use and PN?: https://connect.mayoclinic.org/discussion/anyone-seen-research-on-long-term-proton-pump-inhibitor-use-and-pn/
- Neuropathy + Proton-pump Inhibitor use?? Anyone had this experience?
https://connect.mayoclinic.org/discussion/neuropathy-and-ppi-use-has-anyone-had-this-experience/
@bigjohnscho, have you talked with your doctor about alternatives to taking a proton pump inhibitor (PPI) to decrease stomach acid production?

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I would never have known there was a connection between PPI use and neuropathy had it not been for those posting about it here. I was on pantoprazole 40 mg per day for 18 months. In December I noticed my feet would burn painfully after a walk and sometimes just sitting around at night my toes would start to burn. All my blood tests, e.g. B12 and diabetes, didn't show anything. I have an appointment with a neurologist tomorrow to see what's up. In the meantime I have been tapering off of the pantoprazole for about 8 weeks. It will probably take another eight weeks to be completely off. This has been a struggle but I'm getting by with all the OTC stuff. And I'm motivated. Yesterday I found another study conducted by Kaiser in 2013 showing a likely connection. Funny how doctors prescribe these and let us stay on them indefinitely. So I'm posting to tell my story and keep the conversation going. Thank you for being here, and thank you for letting me share.

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Profile picture for llmartin @llmartin

I would never have known there was a connection between PPI use and neuropathy had it not been for those posting about it here. I was on pantoprazole 40 mg per day for 18 months. In December I noticed my feet would burn painfully after a walk and sometimes just sitting around at night my toes would start to burn. All my blood tests, e.g. B12 and diabetes, didn't show anything. I have an appointment with a neurologist tomorrow to see what's up. In the meantime I have been tapering off of the pantoprazole for about 8 weeks. It will probably take another eight weeks to be completely off. This has been a struggle but I'm getting by with all the OTC stuff. And I'm motivated. Yesterday I found another study conducted by Kaiser in 2013 showing a likely connection. Funny how doctors prescribe these and let us stay on them indefinitely. So I'm posting to tell my story and keep the conversation going. Thank you for being here, and thank you for letting me share.

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@llmartin Thank you for posting. I did not know of the connection between PPI and neuropathy. I was on a PPI for years, took myself off, a new MD (previous one left the practice) put me back on a PPI. So I've been on and off and on again. During this process, I was diagnosed with idiopathic progressive peripheral neuropathy, and have been under the care of a neurologist, and now under the care of an even more experienced primary care provider. No medical provider has mentioned the possible relationship between PPI and neuropathy. I'll ask at my March appointment. Thank you for your post.

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Profile picture for joanland @joanland

@llmartin Thank you for posting. I did not know of the connection between PPI and neuropathy. I was on a PPI for years, took myself off, a new MD (previous one left the practice) put me back on a PPI. So I've been on and off and on again. During this process, I was diagnosed with idiopathic progressive peripheral neuropathy, and have been under the care of a neurologist, and now under the care of an even more experienced primary care provider. No medical provider has mentioned the possible relationship between PPI and neuropathy. I'll ask at my March appointment. Thank you for your post.

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@joanland thank you for replying. I could not find the link and would probably have trouble sharing it if I did, but in several discussions in the neuropathy support group last year, many contained links to relevant studies. It will be interesting to see if your doctor can tell you anything. There is so much research to keep up with nowadays, sometimes sometimes our doctors don't know and we have to be our own advocate. I do hope you find some solutions that work for you in dealing with this terrible disease. Please keep us posted on your progress. Kind regards, L

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Profile picture for llmartin @llmartin

I would never have known there was a connection between PPI use and neuropathy had it not been for those posting about it here. I was on pantoprazole 40 mg per day for 18 months. In December I noticed my feet would burn painfully after a walk and sometimes just sitting around at night my toes would start to burn. All my blood tests, e.g. B12 and diabetes, didn't show anything. I have an appointment with a neurologist tomorrow to see what's up. In the meantime I have been tapering off of the pantoprazole for about 8 weeks. It will probably take another eight weeks to be completely off. This has been a struggle but I'm getting by with all the OTC stuff. And I'm motivated. Yesterday I found another study conducted by Kaiser in 2013 showing a likely connection. Funny how doctors prescribe these and let us stay on them indefinitely. So I'm posting to tell my story and keep the conversation going. Thank you for being here, and thank you for letting me share.

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Hello @llmartin,

I combined your discussion with an existing discussion titled:

"Anyone take a PPI?"
- https://connect.mayoclinic.org/discussion/anyone-take-a-ppi/

@bigjohnscho started this discussion relating some of the same issues. @joanland also shared their experience as well.

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