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Omeprazole

GERD, Peptic ulcer disease, H. pylori eradication (triple therapy), Stress ulcer prophylaxis, Zollinger-Ellison syndrome

Indications

  • GERD
  • Peptic ulcer disease
  • H. pylori eradication (triple therapy)
  • Stress ulcer prophylaxis
  • Zollinger-Ellison syndrome

Adult dosing

  • gerd: dose: 20; unit: mg; route: PO daily; interval: 20mg daily for 4-8 weeks; may increase to 40mg; fixed: true; gi bleed: dose: 80; unit: mg; route: IV bolus then 8mg/hr x72h; interval: After endoscopy for high-risk ulcers; fixed: true

Contraindications

  • PPI allergy

Clinical pearls

  • Take 30-60 min before first meal of the day for maximum efficacy
  • Long-term use risks: C. difficile, hypomagnesemia, B12 deficiency, fractures, CKD
  • Step-down therapy: aim to use lowest effective dose or switch to H2RA for long-term maintenance
  • GI bleed: high-dose IV PPI after endoscopy for high-risk Forrest Ia/Ib/IIa ulcers

Source and review

  • ACG Clinical Guidelines; NEJM 2019 (PPI safety review). Last reviewed: 2024-11-01