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When dose adjustment makes sense Severe heartburn that does not respond to 4 to 6 weeks of aggressive management (dietary changes plus OTC medications) at a particular dose may warrant stepping back

Uchino S, Kellum JA, Bellomo R, Doig GS, Morimatsu H, Morgera S, Schetz M, Tan I, Bouman C, Macedo E, Gibney N, Tolwani A, Ronco C, Beginning and Ending Supportive Therapy for the Kidney (BEST Kidney) Investigators (2005) Acute renal failure in critically ill patients: a multinational, multicenter study