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Prilosec

Stomach pains and disorders can be very uncomfortable and embarrassing, Prilosec gives you relief from stomach problems and pain that prevent you from living your daily life. Prilosec is most often used to treat heartburn, gassy feelings, gassy problems, and ulcers of the stomach. There are various diseases of the stomach that Prilosec is often used to treat as well. You should not use Prilosec when you are taking antibiotics or your antibiotics are not going to work as well as they should be for your body. Prilosec is often used to treat ulcers, ongoing upset stomachs, and other ailments. Prilosec works with your body, stopping the acid from causing gas pains, heartburn, and problems with acid working its way up your esophagus. Prilosec is a medication that you should not take if you know you are going to be driving or operating any type of vehicles. Pregnant women should not take Prilosec as the effects could harm your baby.

ItemCount RetailPrice Order
Prilosec 10 mg 30 capsules $208.50 $173.75
Prilosec 10 mg 60 capsules $336.90 $280.75
Prilosec 10 mg 90 capsules $546.90 $455.75
Prilosec 20 mg 30 capsules $224.10 $186.75
Prilosec 20 mg 90 capsules $582.90 $485.75
Prilosec 40 mg 30 capsules $320.10 $266.75
Prilosec 40 mg 90 capsules $784.50 $653.75

Uses
Omeprazole is used to treat various acid-related stomach and/or throat (esophagus) problems (e.g., GERD, ulcers, erosive esophagitis, or Zollinger-Ellison Syndrome). It works by blocking the production of acid in the stomach. When using this medication to treat certain ulcers, it may be prescribed along with certain antibiotics (e.g., amoxicillin, clarithromycin).

How to Use
Take this medication by mouth, usually once daily, 15 to 30 minutes before a meal; or as directed by your doctor. The dosage and length of treatment is based on your medical condition and response to therapy. Do not crush or chew the medication. Swallow the medication whole. If you take sucralfate in addition to this medication, take your dose of omeprazole at least 30 minutes before your sucralfate.

Side Effects
Headache, diarrhea, gas, or constipation, may occur. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: rash, stomach/abdominal pain, back pain, unusual tiredness, dizziness, vomiting. Tell your doctor immediately if any of these unlikely but serious side effects occur: chest pain, dark urine, yellowing eyes or skin. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
Tell your doctor your medical history, especially of: liver problems, other stomach problems (e.g., tumors), any allergies. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this drug passes into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Drug Interactions
Tell your doctor of all prescription and nonprescription medication you may use, especially: diazepam, "blood thinners" (e.g., warfarin), hydantoins (e.g., phenytoin), azole antifungals (e.g., ketoconazole, itraconazole), ampicillin, iron supplements, sucralfate, cilostazol. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: confusion, unusual sweating, blurred vision, unusually fast heartbeat, seizures

Missed Dose
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage
Store at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from light and moisture.

More On Prilosec

Uses of Prilosec
PRILOSEC

Prilosec is used to treat various acid-related problems of the stomach and/or throat (esophagus) e.g., gastro-esophageal reflux disease (GERD), ulcers, erosive esophagitis, or Zollinger-Ellison Syndrome. Prilosec works by blocking the production of acid in the stomach. When using Prilosec to treat certain ulcers, it may be prescribed along with certain antibiotics (e.g., amoxicillin, clarithromycin).

How to Use Prilosec
Take Prilosec by mouth, usually once daily, 15 to 30 minutes before a meal; or as directed by your doctor. The dosage and length of Prilosec treatment is based on your medical condition and response to therapy. Do not crush or chew Prilosec. Swallow Prilosec whole. If you take sucralfate in addition to this medication, take your dose of Prilosec at least 30 minutes before your sucralfate.

Side Effects of Prilosec
Headache, diarrhea, gas, or constipation, may occur with Prilosec. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: rash, stomach/abdominal pain, back pain, unusual tiredness, dizziness, vomiting. Tell your doctor immediately if any of these unlikely but serious side effects occur: chest pain, dark urine, yellowing eyes or skin. An allergic reaction to Prilosec is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions with Prilosec
Tell your doctor your medical history, especially of: liver problems, other stomach problems (e.g., tumors), any allergies. Prilosec should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether Prilosec passes into breast milk. Because of the potential risk to the infant, breast-feeding while using Prilosec is not recommended. Consult your doctor before breast-feeding.

Drug Interactions with Prilosec
Tell your doctor of all prescription and nonprescription medication you may use, especially: diazepam, "blood thinners" (e.g., warfarin), hydantoins (e.g., phenytoin), azole antifungals (e.g., ketoconazole, itraconazole), ampicillin, iron supplements, sucralfate, cilostazol. Do not start or stop any medicine without doctor or pharmacist approval.

Prilosec Overdose
If Prilosec overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of Prilosec overdose may include: confusion, unusual sweating, blurred vision, unusually fast heartbeat, seizures.

Notes
Do Not Share Prilosec with others. Laboratory and/or medical tests may be performed to monitor your progress.

Missed Dose of Prilosec
If you miss a dose of Prilosec, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the Prilosec dose to catch up.

Storage of Prilosec
Store Prilosec at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from light and moisture.

 SOME CAUSES OF HYPERACIDITY-AN OVERVIEW OF CAUSES AND TREATMENT

People who suffer from frequent heartburn often develop habits to help them avoid or cope with frequent heartburn. For instance, they may:

  • Avoid eating certain favorite foods (such as spicy or fried foods, onions or citrus fruits)
  • Drink carbonated beverages after a meal to cause belching, which gives a feeling of relief
  • Avoid exercising, lying down or bending over for two to three hours after a meal
  • Sleep with the head of the bed elevated, or use pillows or a wedge, to prevent frequent heartburn

If you suffer from frequent heartburn, you're not alone. Some 50 million American adults are estimated to suffer from frequent heartburn.

  • When you eat, tiny acid pumps in your stomach produce a powerful acid that helps break down food. At the top of your stomach is a valve called the lower esophageal sphincter, or LES, which opens to let in food, then closes to keep acid down in the stomach.
  • When the LES relaxes or isn't working properly, acid can reflux, or flow backwards, into your esophagus. Your stomach has a protective lining to shield against the acids  your esophagus doesn't.
  • When you feel heartburn, it means acid has slipped past the LES and up in the esophagus. Not only is this painful, but the esophagus can be damaged if exposed to the acid for long periods of time.

Prilosec works by blocking active acid pumps in the stomach, so there is less acid and less chance for heartburn to happen.

What does heartburn feel like?
What heartburn feels like can vary from person to person. But the main symptom is a burning pain in the chest that begins at the breastbone and moves up toward the throat.

Heartburn symptoms can last for hours and are often worse after eating, when the stomach produces the most acid. Some people are also awakened by uncomfortable symptoms during the night.

Tracking triggers
Heartburn can be triggered by many things  something you eat or drink, another medical condition, or lifestyle habits. Triggers contribute to heartburn by doing one of several things: relaxing the LES (lower esophageal sphincter), increasing acid production, pressure on the stomach (forcing acid upward), or making the esophagus more sensitive to acid. Possible triggers include:

Eating habits:

  • Eating citrus fruits, chocolate, peppermint, tomatoes or tomato-based products, raw onions, garlic, black pepper, vinegar and fatty or spicy foods
  • Drinking caffienated, carbonated or alcoholic beverages, such as coffee, cola or beer
  • Eating large portions
  • Eating before bedtime

Body positions:

  • Lying down or bending over on a full stomach
  • Exercises that cause increased pressure on the abdomen

Various conditions that could also cause heartburn symptoms include:

  • Pregnancy
  • Hiatal hernia
  • Certain medications
  • GERD (gastroesophageal reflux disease)

Lifestyle habits:

  • Being overweight
  • Smoking
  • Stressful lifestyle
  • Wearing restrictive clothing

SOME CAUSES OF HYPERACIDITY-AN OVERVIEW OF CAUSES AND TREATMENT-CONTINUED

Sufferers Point to Stress as an Aggravator of Heartburn

National Heartburn Alliance survey data reveals that 58 percent of frequent heartburn sufferers identify "hectic lifestyle" as a factor that contributes to their heartburn. Fifty-two percent point to work-related stress as a heartburn aggravator. While stress is a normal part of life, many may find that increased stress is impacting their lives in ways they may or may not have experienced before. Although a direct link to heartburn has not been established, we know that stress can lead to behaviors that may trigger heartburn - smoking, increased alcohol consumption, etc. In stressful times, routines are disrupted and people may forget to follow their normal patterns as related to meals, exercise and medication. People under stress also are likely to be more aware of heartburn symptoms, where in the past they might have been able to ignore the heartburn.

Here are a few reminders to help you better control heartburn symptoms during especially stressful times.

Meals

Stress can affect the motility or movement of food through the digestive system. Motility issues can also cause acidic stomach contents to linger in the stomach allowing more time for acid reflux to occur.

  • Try to stay on a regular schedule and eat smaller portions. Avoid eating meals and snacks at least 2-3 hours before lying down.
  • Avoid or minimize intake of high-fat foods and foods that are particularly spicy.
  • Limit consumption of caffeinated, carbonated and alcoholic beverages.
  • Stop or decrease smoking.

Exercise

Exercise not only helps to alleviate stress, it can decrease heartburn symptoms as well. Physical activity helps to keep the digestive system moving as it should. While you should wait at least two hours after a meal before exercising or working out, a short stroll after dinner is preferable to relaxing or reclining on the couch in front of the T.V.

Medications

Check with your health care professional to see if one of the medications you are taking might be triggering your heartburn. Antidepressants and anti-anxiety medications can relax the lower esophageal sphincter (LES) and allow stomach juices to flow upward into the esophagus, exposing it to harsh acid.

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can increase the incidence of heartburn. Aspirin and other pain medications (other than acetaminophen), some antibiotics and iron tablets can also aggravate symptoms.

Be aware of the possible side affects of medications you take, but never stop taking any medication prescribed by your doctor without consulting him or her first. And if heartburn medication is a part of your daily regimen, remember to take it as directed by your health care professional.

Alcohol Consumption and Heartburn

Alcohol consumption affects everyone differently. For some, a beer or cocktail is a way to unwind and relax. But for others, the relaxation that takes place involves the LES, or the lower esophageal sphincter, and this can trigger heartburn.

Drinking alcohol can contribute to heartburn in several ways. Alcohol consumption can increase the relaxation of the LES - the natural valve that keeps stomach acid in the stomach and out of the esophagus - allowing acid to reflux, or flow backward, into the esophagus when it normally would not. The acid irritates the wall of the esophagus, causing heartburn. Alcohol can also trigger heartburn by causing the progressive contractions that occur with swallowing to become erratic. Normally, the muscles of the esophagus contract and relax in order to carry food from the throat to the stomach, and to prevent acids from backing up from the stomach into the esophagus. An irregular rhythm can allow acid to enter the esophagus and trigger heartburn symptoms.

In addition to affecting the function of the LES, drinking beer and wine can increase the amount of acid produced in the stomach. Alcohol can also make the esophagus more sensitive to harsh acid, and cause inflammation, or swelling, in its protective lining.

Current Research on Alcohol Consumption and Heartburn

One study reported that participants had higher than normal levels of acid in the esophagus after drinking roughly 12 ounces of red wine with lunch or dinner 1 . In the first three hours after drinking the wine, the esophagus was exposed to acid three to four times longer than if participants had consumed tap water. The study also showed that people who tend to suffer from heartburn may find they experience twice their usual symptoms after drinking red wine.

In addition to red wine, whiskey, vodka, beer, and white wine have been shown to contribute to heartburn and abnormal functioning of the LES. Other alcoholic beverages may have a similar effect, depending on the individual.

Another study reported that of patients who experienced heartburn, 60% said that alcohol produced these symptoms on a daily basis, and 62% said they experienced weekly or monthly heartburn due to drinking alcohol 2 .

Meals and Alcohol Consumption  Moderation is Key

Because alcohol can increase acid production and cause acid to reflux into the esophagus, any amount of alcohol consumed with a large meal can further predispose you to heartburn. However, keeping your alcohol consumption during meals to more moderate amounts (one to two mixed drinks, 12 to 16 ounces of wine, or two to three beers) can limit the severity and duration of heartburn symptoms triggered by alcohol.

Alcohol is just one of many triggers that can bring on heartburn. Learning to recognize what triggers heartburn for you is an important step toward preventing the condition. By recording daily activities associated with your heartburn episodes and lessening or avoiding these triggers, you may be able to prevent or lessen the severity of your heartburn. Each person's body responds differently, so you should make individual changes that work for you.

Here are a few tips to try if you experience heartburn related to alcohol consumption:

  • Keep a record of when your heartburn episodes occur; and the specific alcoholic beverages that trigger them.
  • When drinking alcohol with a meal, limit intake to moderate amounts (one or two mixed drinks, 12 to 16 ounces of wine, or two or three beers.)
  • Try substituting white wine for red.
  • If your goal is to unwind after a stressful day, try exercise, walking, meditation, stretching, or deep breathing instead of an alcoholic drink.

Tips to Combat Exercise-Induced Heartburn

Do you feel a burning in your chest and/or a bitter taste in your mouth mid-workout? If so, you're likely one of the many exercise enthusiasts who experiences exercise-induced heartburn. There's no reason, though, to let a bout of indigestion wreck your run. An increased awareness of what causes your heartburn, along with some simple dietary modifications, can bring relief.

Check out these tips to ward-off exercise-related heartburn:

Dietary:

  • Pass up protein and fat pre-work-out - Food that's consumed less than two hours before exercising has a huge impact on the occurrence of heartburn. Pre-workout meals should be high in carbohydrates and low in fat and protein. Reserve the protein-rich meal for after the workout when it's important to repair/rebuild muscles.
  • Limit foods that fan the flames - Certain foods and beverages are more apt to cause heartburn than others. Moderate intake of citrus fruits and juices, chocolate, onions, peppermint, spearmint, fatty or spicy foods and caffeinated or carbonated beverages.
  • Time your meals - Exercising on a full stomach is not advisable, largely because it increases intra-abdominal pressure, which contributes to heartburn. Wait at least two hours after a meal before exercising.
  • Control quantity - Decrease the size of portions eaten prior to or during exercise. Reflux is more likely to occur when there is a lot of food in the stomach.
  • Opt for weakened sports drinks - The high concentration of carbohydrates found in most sports drinks may contribute to heartburn. Most sports drinks provide between 60 to 100 g. of carbohydrates per liter. Try diluting this in quarter intervals to see if a ¾ strength or a ½ strength solution decreases your heartburn. Watered-down solutions will also leave the stomach faster, providing more rapid hydration benefits.
  • Hydrate heavily - Drink plenty of water before and during exercise. Water aids digestion and also prevents dehydration.

Medication
Over-the-counter drugs used to treat heartburn have few side effects and are tremendously effective. Most individuals who use heartburn medication will experience no drug-induced side effects. Furthermore, research has shown that taking over-the-counter heartburn medication before exercising can significantly reduce the incidence and severity of exercise-related heartburn. If heartburn is problematic during and/or after exercise, don't hesitate to seek relief from a drug.

Consider the following treatment options:

  • Over-the-counter remedies
    • Antacids  Neutralize existing stomach acid through basic chemical reaction.
    • H2 blockers  partially block production of acid in the stomach by inhibiting the action of histamine, a substance that stimulates secretion of stomach acid.
    • Proton Pump Inhibitors  Prilosec most effectively inhibit stomach acid production by deactivating the acid pumps in the stomach.
  • Prescription medication
    • H2 blockers  available by prescription at a higher dose than their OTC counterpart.
    • Proton Pump Inhibitors  Prilosec available by prescription at higher doses than OTC counterpart.

 

 

 



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