Why is this medication prescribed?

Prilosec OTC (omeprazole) is a medication used to treat frequent heartburn, which occurs when stomach acid backs up into the tube that carries food from your mouth to your stomach (esophagus). It is classified as a proton pump inhibitor (PPI), and it works by reducing the production of stomach acid.

How should this medicine be used?

Here are some key points regarding the use of Prilosec OTC:

• Indication: Prilosec OTC is primarily prescribed for the short-term treatment of frequent heartburn, which is defined as heartburn that occurs at least 2 days a week.
• Dosage and Administration: The typical dosage for Prilosec OTC is one 20 mg delayed-release tablet once daily for up to 14 days. The tablet should be taken before eating, preferably in the morning. It is important not to crush, chew, or break the tablet, as it is designed to release the medication slowly.
• Duration of Use: Prilosec OTC is not intended for immediate relief of heartburn symptoms. It may take 1-4 days for full effect, and the course of treatment is limited to 14 days.
• Consultation with Healthcare Provider: If symptoms persist beyond 14 days or if there is a need for more prolonged treatment, it’s important to consult with a healthcare professional.
• Precautions and Warnings: Prilosec OTC may interact with other medications, and it’s crucial to inform your healthcare provider about all the medications you are taking. Certain conditions and situations may require additional monitoring or adjustment of the dosage.
• Over-the-Counter (OTC) Availability: Prilosec OTC is available without a prescription and is meant for short-term use.

Other uses for this medicine

Prilosec OTC (omeprazole) is primarily indicated for the short-term treatment of frequent heartburn. It is not typically prescribed for other medical conditions, and its use for other purposes should be discussed with a healthcare professional. While the primary use is for heartburn relief, sometimes healthcare providers may prescribe omeprazole for other conditions such as gastroesophageal reflux disease (GERD), erosive esophagitis, and certain stomach ulcers.

What special precautions should I follow?

Special Precautions for Prilosec OTC:

• Pregnancy and Breastfeeding: It’s important to inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. The safety of Prilosec OTC during pregnancy and breastfeeding is not well established, and the benefits and risks should be discussed with a healthcare professional.
• Kidney Function: Individuals with impaired kidney function may need dosage adjustments or closer monitoring when using Prilosec OTC. Consultation with a healthcare provider is crucial in such cases.
• Liver Function: Prilosec is metabolized in the liver, and individuals with liver problems may require adjusted dosages. It’s important to inform your healthcare provider about any pre-existing liver conditions.
• Interactions with Other Medications: Prilosec OTC can interact with other medications, including some that are available over-the-counter. Inform your healthcare provider about all the medications, supplements, and herbal products you are taking to avoid potential interactions.
• Long-Term Use: Prilosec OTC is intended for short-term use (up to 14 days). Prolonged use, especially without medical supervision, may have risks. Long-term use of proton pump inhibitors (PPIs) has been associated with certain complications, including an increased risk of bone fractures, kidney disease, and Clostridium difficile infection.
• Monitoring Calcium Levels: Long-term use of PPIs like Prilosec OTC has been associated with a potential reduction in calcium absorption, which may lead to bone-related issues. Regular monitoring of calcium levels may be advisable, especially in individuals with a higher risk of osteoporosis.
• Clostridium difficile Infection: Prolonged use of PPIs has been associated with an increased risk of Clostridium difficile infection, a potentially severe infection of the colon. If persistent diarrhea occurs during or after treatment with Prilosec OTC, it should be reported to a healthcare provider.

It is crucial to follow the prescribed dosage and duration of use as directed by your healthcare provider. If you have any concerns, questions, or experience unexpected side effects while taking Prilosec OTC, consult with your healthcare professional promptly. They can provide personalized guidance based on your health status and medical history.

What special dietary instructions should I follow?

While there are no specific dietary restrictions associated with Prilosec OTC, it’s generally recommended to avoid or limit the consumption of foods and beverages that can trigger or worsen heartburn, such as spicy or acidic foods, caffeine, and alcohol. Eating smaller, more frequent meals instead of large meals may also help reduce the likelihood of heartburn.

What should I do if I forget a dose?

• If you forget to take a dose of Prilosec OTC, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule.
• Do not double the dose to make up for a missed one. If you have questions or concerns about missed doses, consult with your healthcare provider for guidance.

What side effects can this medication cause?

Prilosec OTC (omeprazole) can cause side effects, although not everyone will experience them. Common side effects are generally mild and may include:

• Headache: Some people may experience headaches while taking Prilosec OTC.
• Nausea: Nausea is another common side effect that may occur.
• Abdominal Pain: Some individuals may experience abdominal pain or discomfort.
• Flatulence (Gas): Prilosec OTC use has been associated with increased flatulence.
• Diarrhea or Constipation: Changes in bowel habits, including diarrhea or constipation, may occur.
• Vomiting: Vomiting is a less common side effect but may occur in some individuals.

It’s important to note that serious side effects are rare, but they can occur. If you experience any of the following severe side effects, contact your healthcare provider immediately:

• Allergic Reactions: Symptoms may include rash, itching, swelling, severe dizziness, or difficulty breathing.
• Severe Stomach Pain: Intense or persistent abdominal pain may be a sign of a more serious condition.
• Kidney Problems: Rare cases of kidney problems have been reported, including changes in the amount of urine produced.
• Liver Problems: Severe liver problems are rare, but symptoms such as persistent nausea, vomiting, dark urine, or yellowing of the eyes and skin (jaundice) should be reported promptly.
• Low Magnesium Levels: Prolonged use of PPIs like Prilosec OTC may lead to low magnesium levels, which can cause muscle spasms, irregular heartbeat, or seizures.

It’s important to use Prilosec OTC as directed by your healthcare provider and to report any unusual or severe side effects promptly. Additionally, let your healthcare provider know about any pre-existing medical conditions or other medications you are taking to ensure there are no potential interactions.

Long-term use of Prilosec OTC or other proton pump inhibitors (PPIs) may be associated with certain risks, including an increased risk of bone fractures, kidney disease, and Clostridium difficile infection. Therefore, it’s advisable to use these medications under the guidance of a healthcare professional and for the duration recommended by your healthcare provider. If you have concerns about the side effects of Prilosec OTC, discuss them with your healthcare provider for personalized advice.

What should I know about storage and disposal of this medication?

Storage and Disposal of Prilosec OTC:

• Storage: Store Prilosec OTC at room temperature, away from moisture, heat, and light. Keep the medication in its original packaging or container, and ensure that it is out of reach of children and pets.
• Disposal: If you no longer need Prilosec OTC or it has expired, it’s essential to dispose of it properly. Follow any specific disposal instructions provided by your healthcare provider or pharmacist. Do not flush medications down the toilet unless instructed to do so. You can check with your local pharmacy or health department for information on drug take-back programs or other safe disposal methods.

In case of emergency/overdose

• If you suspect an overdose or experience severe symptoms, such as difficulty breathing, call your local emergency number (e.g., 911 in the United States) immediately.
• If someone has ingested a large amount of Prilosec OTC and is experiencing symptoms such as confusion, drowsiness, blurred vision, rapid heartbeat, or seizures, seek emergency medical attention.
• Contact a poison control center at 1-800-222-1222 for guidance on what to do in case of an overdose.

What other information should I know?

• Follow Healthcare Provider’s Instructions: Always take Prilosec OTC as prescribed by your healthcare provider. If you have any questions or concerns about the medication, discuss them with your healthcare provider or pharmacist.
• Duration of Use: Prilosec OTC is typically recommended for short-term use (up to 14 days) to treat frequent heartburn. If symptoms persist, consult your healthcare provider for further evaluation and management.
• Monitoring: If you are on long-term treatment with Prilosec OTC, your healthcare provider may recommend periodic monitoring for potential side effects, such as kidney function, magnesium levels, and bone health.
• Informing Healthcare Providers: Keep your healthcare provider informed about all the medications you are taking, including over-the-counter medications, supplements, and herbal products. This helps prevent potential drug interactions.
• Allergic Reactions: If you develop symptoms of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing, seek medical attention promptly.
• Regular Check-ups: Attend regular check-ups with your healthcare provider to discuss your overall health and the continued need for Prilosec OTC.

It’s crucial to use Prilosec OTC responsibly, following the prescribed dosage and instructions. If you have any concerns or experience unexpected side effects, contact your healthcare provider for guidance. Do not adjust the dosage or stop taking the medication without consulting your healthcare professional.