 if gastrointestinal risk factors                                                                                                 Recommended (A) with PPI if gastrointestinal risk factors                                                                                                                                                                                                                                            Use with caution for patients with high risk factors for congestive heart failure or renal problems                                                               Use with caution with elderly patients (C) or patients with renal problems (D)                                                                                                                                                                                                                                            Not recommended 