What medication should Rose with gastroesophageal reflux disease (GERD) avoid?

The correct choice, which is the nonsteroidal anti-inflammatory drugs (NSAIDs), is important for managing patients with gastroesophageal reflux disease (GERD) because NSAIDs can irritate the gastrointestinal lining and potentially worsen symptoms associated with GERD. These medications can lead to increased gastric acid secretion and delayed gastric emptying, which may exacerbate reflux symptoms, such as heartburn.

While other types of medications listed may have their own side effects, they are not directly associated with increasing the risk of GERD complications or worsening symptoms in the same way that NSAIDs do. Antibiotics, oral contraceptives, and antifungals are not specifically contraindicated for patients with GERD, since they do not share the same potential for irritating the esophagus or promoting reflux. Understanding the specific effects of NSAIDs in relation to GERD helps in making informed treatment decisions and providing better patient care.