Omeprazole

Drug Type
 Generic Drug
Medicine System
 Allopathy
Drug Availability
 Unspecified

Omeprazole Monograph

Pregnancy Category C

Essential Medicine :

Schedule Drug Category: H

Usage / Indications

  • Benign gastric and duodenal ulcers
  • Zollinger Ellison syndrome
  • Gastric acid reduction during gastric surgery
  • GERD, NSAID- induced ulcer, prophylaxis during NSAIDs treatment in patients with high risk for peptic ulceration, eradication of H.pylori, as preoperative medication, systemic mastocytosis and in patients not responsive to H2 blockers.

Dosage

Source : IAP Pediatric Drug Formulary
Oral < 12 yr initially 0.7mg.kg and increased to 3mg/kg/day and 12-18 yr 20-40 mg initially as single dose and at higher doses in 2 divided doses. H Pvlori - Oral 1-12 yr 1-2mg/kg rounded to nearest 10mg and max 40mg and in 12-18 yr 40 mg as single dose for 14 days with amoxcillin and clarithromycin or amoxicillin and metronidazole or clarithromycin and metronidazole.

Source : NFI National Formulary of India
Oral: Benign gastric and duodenal ulcers: 20 mg once a day for 4 weeks in duodenal ulcers, for 8 weeks in gastric ulcers, Increase to 40 mg in severe case. Maintenance for recurrent duodenal ulcers: 20 mg once daily. Prevention of relapse: 10 mg daily. NSAIDs associated gastric or duodenal ulcers or gastro-duodenal erosions: 20 mg daily for 4 weeks. Prophylaxis in case of history associated with gastric/duodenal ulcers or dyspepsia: 20 mg daily. Zollinger-Ellison syndrome: 60 mg to 120 mg/day or more, into divided doses. Gastric acid reduction during gastric surgery: 40 mg on preceding evening then 40 mg 2 to 6 h before surgery.

Contraindications

Hypersensitivity.

Precautions

  • Interactions
  • Pregnancy
  • Concomitant gastric malignancy.

Side Effects / Adverse Effects

Nausea, abdominal pain, constipation, flatulence, diarrhoea, headache, skin rashes, subacute, myopathy, arthralgias, increased risk of hip fractures, decreased B12 absorption, hypergastrenemia, respiratory and Clostridium difficile infections, hepatic dysfunction.

Storage

Store protected from light and moisture at a temperature not exceeding 300C.

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