Even though Prilosec is now sold over-the-counter (OTC), it is always recommended that consumers know what it is and what it can do for them before self medicating. Simply because it is located on a pharmacy shelf next to antacids and other medications for indigestion doesn’t necessarily mean this would be the preferred treatment for what you are suffering from. The following information is not intended to diagnose or prescribe treatment, rather it is intended to provide a basic understanding of what Prilosec is, its intended uses and other facts which may prove to be helpful. Consumers should always seek a professional medical diagnosis before beginning any medications, especially for the first time.

What Is Prilosec?

The chemical (pharmaceutical) name for Prilosec is omeprazole which was first released in 1989 as a prescription drug for peptic ulcers, dyspepsia, laryngopharyngeal reflux, gastroesophageal reflux disease (commonly referred to as GERD) and Zollinger-Ellison syndrome. Today Prilosec is the most prescribed medication for GERD on a global level although it is still commonly prescribed for the previously mentioned conditions and other less common conditions.

Although the average layperson wouldn’t need to know, or even understand, Prilosec is in a class of medications known as proton pump inhibitors. Basically, this means that it is used to treat illnesses or conditions which have been brought about by excess acid in the stomach. Sometimes it is prescribed for its ability to heal a condition called erosive esophagitis and there are times when physicians prescribe it in combination with antibiotics for ulcers which are the result of infections caused by H. pylori.

This medication is still available in prescription strength but is now available in the United States and some other countries around the world in an OTC strength formulation. Prilosec should not be taken for common conditions such as heartburn or acid indigestion because it does not promote immediate relief for those conditions.

How Is Prilosec Taken?

There are several ways in which Prilosec can be taken orally which of course include taking the capsule or pill whole as directed, generally one hour before breakfast. However, there are other ways in which Prilosec can be administered orally which would include the powder oral suspension formulation and methods of taking capsules for individuals who have trouble swallowing. In this case the person may wish to use a small bit of applesauce, usually a tablespoon, in a small bowl. Break open the time-release capsule and mix it well with the applesauce. Be sure not to chew when swallowing the mixture as the little granules are time released and never store the mixture. Take it immediately.

Delayed release tablets, prescription or OTC, are never to be chewed. Swallow them whole with a glass of water as per the directions on the OTC box or as prescribed by your physician. The powder form should be mixed with water, usually one teaspoonful for the 5mg dose and a tablespoon for the 10 mg dose. In either case, place the water in a small medicine cup and add the powder. Stir it well and wait a few minutes until the mixture thickens. Mix it again and immediately drink it down. Never let the mixture stand longer than 30 minutes. If for some reason you are unable to take your medication within that time, throw it out and start again. The powder can also be fed through a feeding tube if necessary following instructions by the doctor.

Potential Side Effects and Adverse Reactions

As with any medication, there is always the potential for side effects and/or adverse reactions. If you experience any of the following side effects, especially over a prolonged period, you should consult with your physician. Potential side effects include irregular bowel movements such as diarrhea or constipation, stomach pain, gas, nausea or vomiting and some people have experienced fevers and/or headaches.

Most often symptoms are not severe, but in some rare instance they could be. Of concern would be anyone presenting with a rash, hives or itching as this could be an allergic reaction. Any swelling of the face, neck, throat, lips, tongue or extremities (i.e. hands, ankles) should be immediately reported to your doctor. Hoarseness, dizziness, lightheadedness, irregular heartbeats, uncontrollable shaking, muscle spasms or seizures should also be immediately reported.

Special Precautions When Taking Prilosec

One thing to be aware of when taking Prilosec is that proton pump inhibitors seem to make people more susceptible to breaking bones such as hips, wrists and even their spine than those who do not take the compound. This is most common in those over the age of 50 and in patients who take high doses. There is also the risk of weakening the stomach lining if taken over extended periods of time.

Prilosec is not intended for immediate relief which is why it is contraindicated in relieving the symptoms of heartburn as it could take anywhere from one to four days before the effects are felt. Also, this medication is not meant to be taken over extended periods of time. OTC Prilosec should only be taken for 14 days at the longest and you should not follow the recommended OTC course more often than once in a four month period unless prescribed to do so by your physician.

Symptoms of Overdose and Emergency Procedures

Keep in mind that Prilosec is not a simple antacid and it is possible to overdose. While it may seem highly unlikely that someone would take more than prescribed or recommended on the OTC packaging, it has been known to happen. The pain and burning which accompanies conditions like GERD or peptic ulcers can be almost unbearable which is why people have been known to try to take extra medication. Even if there were no possibility of overdosing, it would be of no benefit anyway as it takes several days to be effective.

Symptoms of overdosing could include, but are not limited to, blurred vision, dizziness, irregular (rapid) heartbeats, vomiting or nausea, feeling flushed, dry mouth and headaches. If you suspect that you may have inadvertently taken too much of your Prilosec, you could call the National Poison Control Hotline at 1-800-222-1222 or your local emergency 911. If you find another person unconscious it is best to immediately call 911 since calling the national hotline will just unnecessarily delay medical intervention. They will only patch you through to your local fire/rescue which can delay responders by many minutes.

Important Information Regarding Prilosec

Before taking any medications whatsoever, including Prilosec, it is suggested that you discuss with your own doctor what medications or supplements you are currently taking. This includes OTC medications, vitamins, minerals and any prescription pharmaceuticals prescribed by other physicians. You would also want to discuss any allergies you may have to other medications and also if you have taken a course of Prilosec within the past few months. Remember, even a course of OTC Prilosec is only taken once in a four month period.

Your doctor may request a series of diagnostic tests before prescribing any medications so it is important to keep all appointments. Prilosec is most often prescribed for GERD which can have long-lasting ramifications if not treated timely. Never let another person take your prescription medication and also discuss any other illnesses you may have with your doctor. Pregnant women should always let their doctor know they are pregnant before taking any medications as well.

Consumer Reviews

When reading consumer reviews around the internet, it is apparent that many of them either didn’t read the directions or chose to take matters into their own hands anyway. One person commented that Prilosec was ineffective at treating heartburn so he/she had to take it repeatedly during the day. Either this was not Prilosec being taken or, as mentioned, the packaging wasn’t read. Prilosec is not for immediate relief of heartburn!

Some users found that it made them a bit drowsy but were happy with the relief it provided them while others found that it gave them mood swings or made them edgy. These, however are a rare few instances as most of the people who have taken Prilosec rate it at least 8 out of 10 for efficiency and would highly recommend it to others. OTC Prilosec can be a bit pricey at a local pharmacy, but it is possible to find deals online with a bit of searching. This is especially helpful if the online vendor provides free shipping.

Summary

If used as directed and for the conditions for which it was meant to be used, Prilosec is among the most effective medications of its type. It may be a bit costly, but no more so than other pharmaceuticals in this classification and there may be generic names under which the same medication is manufactured which could be less expensive. It is the number one pharmaceutical treatment of choice for GERD and as it has been on the market for more than two decades it can be classified as GRAS, generally recognized as safe. However, the bottom line is to always consult with your physician before taking any medications for the first time, even in non-prescription strengths.