Do you routinely provide GI protection in the form of a PPI or histamine blocker for patients with immunobullous disease initiated on high doses of oral corticosteroids?

I honestly don’t unless a patient brings up GI symptoms during the visit. However, the literature does have clear recommendations. A recent JAAD CME stated that on any dose of prednisone for 3 months or greater, GI prophylaxis is needed for those who must be on a concomitant NSAID. It also recommended considering it in those with a prior history of GERD or at high risk for it regardless of NSAID usage (those with previous peptic ulcer disease, heavy smokers, heavy alcohol users, patients 65 year...