Prilosec OTC Treatment Report

Category: Over the Counter Drugs

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Generic Name: Omeprazole OTC

What is Prilosec OTC?

An example of Prilosec OTC

Prilosec OTC™ is a brand name for the over the counter formulation of drug Omeprazole, a proton pump inhibitor used in the treatment of heartburn and gastroesophogeal reflex.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
91 25 Efficacy_major Efficacy_moderate Efficacy_slight
17 5 Efficacy_moderate Efficacy_slight Efficacy_none
14 5 Efficacy_major Efficacy_moderate Efficacy_slight
9 2 Efficacy_major Efficacy_moderate
7 1 Efficacy_moderate
4 2 Efficacy_moderate Efficacy_slight

See all 155 patients currently taking Prilosec OTC

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Reported Side Effects

Side effects as an overall problem

Severe
0
Moderate
0
Mild
2
None
43

Commonly reported side effects, conditions, and hospitalizations associated with Prilosec OTC

1
1

Reported Dosages

Frequently reported dosages based on patients currently taking Prilosec OTC. See all 11 dosages

  30mg as needed 20mg as needed daily mg as needed 20 mg weekly 20 mg daily 20.6 mg daily 40 mg daily 60 mg daily 80 mg daily
  1 Number of Patients: 1 7 Number of Patients: 7 3 Number of Patients: 3 1 Number of Patients: 1 1 Number of Patients: 1 111 Number of Patients: 111 1 Number of Patients: 1 25 Number of Patients: 25 1 Number of Patients: 1 2 Number of Patients: 2  

Reported Stop Reasons

Why Patients Stopped Taking Prilosec OTC (multiple reasons could be selected)
Reason # Patients Percentage of patients
Other 14   Other: 28%
Did not seem to work 14   Did not seem to work: 28%
Course of treatment ended 10   Course of treatment ended: 20%
Doctor's advice 5   Doctor's advice: 10%
Expense 4   Expense: 8%
Side effects too severe 3   Side effects too severe: 6%
Personal research 1   Personal research: 2%
Not indicated 1   Not indicated: 2%

See all 47 patients who’ve stopped taking Prilosec OTC

Currently Taking Prilosec OTC

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0
0

Stopped Taking Prilosec OTC

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Prilosec OTC

Always
37 82%
Usually
6 13%
Sometimes
1 2%
Never
1 2%

Burden

Difficulty being on treatment

Burden of Prilosec OTC

Very
0 0%
Somewhat
0 0%
A little
11 24%
Not at all
34 76%

Cost

Paid out of pocket

Cost of Prilosec OTC

$200+
0 0%
$100-199
0 0%
$50-99
1 4%
$25-49
9 33%
< $25
17 63%

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8 patient evaluations for Prilosec OTC

Purpose: GERD (Gastroesophageal reflux disease) (Started Nov 17, 2010)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Aug 12, 2011 40 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways A littleA littleA littleA littleA little
Mar 02, 2011 40 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually SomewhatSomewhatSomewhatSomewhatSomewhat
Date
Aug 12, 2011
Advice & Tips
My GERD is due to obesity. Coped with Prilosec/Omeprazole until recently extreme acidity began showing up in stools, and heartburn happened every week or so. I always took one in the morning and one in the evening. I switched to a previous script that has always worked in the past but was not covered under previous medical coverage.
Cost
$25-49 monthly
Date
Mar 02, 2011
Advice & Tips
I'm on this "off-label" because the bottle says 1 a day and I take 2. Nexium is too expensive and I'm uninsured until June. I would recommend this as a first stop for some patients, however, as the OTC is much cheaper than the pharmaceutical variety of the same strength.
Cost
$25-49 monthly
  • Icon_thumb_off 0 helpful marks
Purpose: Acid reflux (Started Nov 16, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Nov 09, 2010 20 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways A littleA littleA littleA littleA little
Jul 19, 2010 20 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways SomewhatSomewhatSomewhatSomewhatSomewhat
  • Icon_thumb_off 0 helpful marks
Purpose: GERD (Gastroesophageal reflux disease) (Started Apr 15, 2010)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Sep 08, 2010 20 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
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What is omeprazole?

Omeprazole decreases the amount of acid produced in the stomach.

Omeprazole is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions caused by excess stomach acid. Omeprazole is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).

Omeprazole may also be given together with antibiotics to treat gastric ulcer caused by infection with helicobacter pylori (H. pylori).

Omeprazole may also be used for other purposes not listed in this medication guide.


Precautions

Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, dizziness, pain spreading to the arm or shoulder, sweating, nausea or vomiting, and a general ill feeling.

Do not use this medication if you are allergic to omeprazole.

Ask a doctor or pharmacist about using this medicine if you have heart disease or liver disease. You may need a dose adjustment or special tests to safely take this medication.

Some conditions are treated with a combination of omeprazole and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.

Do not use over-the-counter omeprazole (Prilosec OTC) without the advice of a doctor if you have:

  • trouble or pain with swallowing;
  • bloody or black stools;
  • vomit that looks like blood or coffee grounds;
  • heartburn that has lasted for over 3 months;
  • frequent chest pain;
  • heartburn with wheezing;
  • unexplained weight loss;
  • nausea or vomiting; or
  • stomach pain.

FDA pregnancy category C. It is not known whether omeprazole is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.

Omeprazole can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give this medication to a child without your doctor’s advice.

Follow your doctor’s instructions about any restrictions on food, beverages, or activity while you are using omeprazole.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include drowsiness, blurred vision, fast heartbeat, nausea, vomiting, sweating, headache, or dry mouth.

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Other less serious side effects are more likely to occur, such as:

  • stomach pain, gas;
  • nausea, vomiting, diarrhea; or
  • headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking omeprazole, tell your doctor if you are taking any of the following drugs:

  • a blood thinner such as warfarin (Coumadin);
  • clopidogrel (Plavix);
  • atazanavir (Reyataz);
  • disulfiram (Antabuse);
  • cyclosporine (Gengraf, Neoral, Sandimmune);
  • tacrolimus (Prograf);
  • phenytoin (Dilantin);
  • theophylline (TheoBid, Theo-Dur, Theochron, Theolair, Elixophyllin, Slo-Phyllin);
  • ketoconazole (Nizoral), voriconazole (Vfend);
  • ampicillin (Omnipen, Principen);
  • iron (Feosol, Mol-Iron, Fergon, Femiron, others); or
  • a medicine for insomnia or anxiety such as diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), temazepam (Restoril), clorazepate (Tranxene), chlordiazepoxide (Librium), and others.

This list is not complete and there may be other drugs that can interact with omeprazole. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Other Names

Prilosec, Prilosec OTC, Zegerid (Original Formulation), and omeprazole

Available Strengths & Dosages


Route Form Strength
oral enteric coated tablet 20 mg

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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