However, researchers have not consistently reported this effect. Doctors should closely monitor people taking antiretroviral drugs and omeprazole together to ensure that the combination is safe. However, people should not use rilpivirine and rilpivirine-containing antiretrovirals at the same time as taking omeprazole. People taking warfarin to prevent blood clots should use omeprazole with caution because the combination can increase their risk of bleeding.
They may need more frequent blood testing to make sure that the dosage of warfarin is appropriate. Some doctors have reported higher methotrexate levels in people taking high dose methotrexate with omeprazole.
These people must provide frequent blood samples so that their doctors can detect rising levels. Also, some researchers have suggested that omeprazole interacts with clopidogrel. Taking a high dosage of omeprazole can reduce the levels of clopidogrel in the blood, putting people at risk of blood clots.
People taking phenytoin or digoxin and omeprazole together may be at risk of toxicity. Doctors will monitor blood samples of phenytoin or digoxin closely when both drugs are required. Some drugs need exposure to an acidic environment before the intestine can absorb them. By reducing the acidity of the stomach contents, omeprazole may interfere with the following drugs:.
Existing research does not demonstrate that omeprazole is harmful during pregnancy. Studies from Sweden and Denmark showed that the chance of birth defects in women using omeprazole was similar to the usual birth defect rate in the population. Researchers have found limited evidence to suggest that omeprazole is present in breast milk. The effects of infant exposure to omeprazole are also unclear. The cost of omeprazole depends on the strengths. The table below provides the prices of each form and strength of 30 days of omeprazole taken once daily.
Other acid suppressing medications include the histamine2 receptor blockers H2 receptor blockers. These medications also reduce stomach acid but use a different pathway than PPIs. H2 receptor blockers typically work more quickly than PPIs, but their effects only last for 4—10 hours. Omeprazole is an effective medication to reduce acid levels in the stomach and treat a variety of stomach related conditions.
People can also use OTC omeprazole to treat frequent heartburn. People typically tolerate omeprazole well, but there are some risks when they use it for long periods of time. Doctors should follow up with people taking PPIs to make sure the drug is working and determine when the person can stop taking the drug. If someone needs long term treatment, doctors need to routinely monitor their vitamin B and magnesium levels and suggest supplements as needed.
Heartburn and nausea are both common digestive issues. They can occur together, especially if a person experiences indigestion. Learn more in this…. Acid reflux is very common and occurs when stomach acid flows back up into the food pipe, where it causes heartburn. Home remedies and lifestyle tips….
You shouldn't take the drug for more than 14 days, and you should wait four months before taking Prilosec OTC again, if necessary.
If you are taking Prilosec to treat gastric or peptic ulcers sores in the lining of your stomach , your symptoms should improve within eight weeks. If you are taking Prilosec to treat a duodenal ulcer a sore in the first part of your small intestine or duodenum , your symptoms will likely improve within four weeks. If you are taking Prilosec to treat gastroesophageal reflux disease GERD , a condition in which stomach acid flows back up into the esophagus the tube that carries food from your mouth to your stomach , causing a burning sensation and possible damage, your symptoms should improve within four weeks.
If you're taking Prilosec to treat not just the symptoms of GERD but also damage to your esophagus erosive esophagitis caused by the backup of stomach acid, you may need to take Prilosec for eight weeks for symptom relief.
If you are taking Prilosec to maintain the health of your esophagus after it has healed from erosive esophagitis, your doctor may recommend that you keep taking the drug for a year or so.
If you have a medical condition that causes your stomach to produce too much acid such as Zollinger-Ellison syndrome , you may need to take Prilosec for five years or longer. Talk to your doctor for more information about Prilosec and what you can expect from taking it. If you are using over-the-counter omeprazole, here is what you need to know:.
Your doctor will decide on the safest dosage of omeprazole for you. However, the following guidelines have been taken from the NHS :. Remember that this is a guideline published by the NHS, and should not be taken as a recommendation. It is important that you never alter your dosage without seeking professional advice from your doctor first. If you feel your current dosage of omeprazole is not effective at relieving your symptoms, speak to your doctor.
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