Are you wondering whether omeprazole isthe right medication for you? This medication does have some side effects,especially if use for a LONG TIME. This video will examine the drug Omeprazole,educate about side effects especially in older adults and TELL YOU what signs tolook out for which are potentially DEADLY. Coming up.Welcome To Think YOUR health. On this channel we’ll give you tips and advice as well as educate youabout health related medical concepts to promote healthy aging and if you are NEW here consider subscribing.Next we’re going to look at the 9 most commonquestions regarding a Omeprazole including the drugs most common side effects.
So what is Omeprazole?
Omeprazole belongs to a family ofmedications called Proton Pump inhibitors PPIs for short. Omeprazole reducesthe amount acid in your stomach. What is it used for? For up to four to sixweeks to treat heartburn and other symptoms that happen with GERD alsocalled gastro esophageal reflux disease. GERD happens when acid in your stomachbacks up into the tube ( called the esophagus) that connects your mouth to your stomach.Thee most common symptoms associated with GERD are burning in your chest or throatburping or a sour taste.
It can be used up to 8 weeks to heal acid relateddamage to the lining of your esophagus this is also called erosive esophagitisand can also use up to eight weeks for healing stomach ulcers.It’s also used upto eight weeks for the healing of duodenal ulcers and the duodenal area is the area where the food passes when it leaves the stomach.These ulcersare sometimes associated with long term use of NSAIDs.NSAIDscan irritate your stomach lining and duodenal lining.With certain antibiotics to to treat an infection caused by abacteria called H. Pylori to help eradicate this bug the infection needsto be treated to prevent the ulcers from coming back. For the long-term treatmentof certain conditions where your stomach makes too much acid such as a rarecondition called Zollinger Ellison Syndrome.
So how does Omeprazole work?
Acid isproduced for Proton Pumps in your stomach and porton pump inhibitors work byturning off and blocking these pumps thus reducing acid production in yourstomach.So how should I take the drug? Take the drug exactly as prescribed byyour provider. DO NOT change the dose or stop the drug without talking toyour doctor. I explain why later in this video.Take Omeprazoleat least 30-60 minutes before breakfast. Swallow Omeprazole capsuleswhole.Do not crush them or chew them. If you have trouble swallowingthe capsules you can carefully open up the capsule mix the pellets with atablespoon of apple sauce and swallow with water. Hi everyone and if you find value in this article don’t forget to subscribe. Can I stop the drug without my doctor knowing?
Do not stop taking Omeprazole without talking to your provider. What might happen is that you might geta rebound acid hypersecretion and in this condition there’s a reoccurrence ofsymptoms after sopping PPI therapy due to an increase of gastric acidsecretion even above pre treatment levels. Omeprazole should be prescribed at the lowest dose and for the shortest duration for the specificmedical condition. It was never intended for lifelong treatments so as tominimize side effect.
If you’ve been treated for a longer period of timelet’s say after about six months I would advise you to taper the dose by 50% soif you’re on 40 milligrams then I would taper you down to 20 milligrams, ifyou are taking the medication twice a day and I would reduce to- once a day. So if you were on 40 milligrams twice a day and I wouldcontinue at 20 milligrams once a day for about two weeks. Once the lowest doseof the drug is reached then you can discontinue the drug. Sometimes if youhave being on the drug for a lengthy period of time I would give the drugevery other day for about two weeks and then discontinue.
What other drugs caneffect omeprazole?
Clopidogrel can decrease the activation of this drug.Antibiotics such as clarithromycin amoxicillin or Rifampin, anti-fungalmedications. Methotrexate which is an immunological drug or rheumatological drug.Phenytoin which is an anti-seizure medication.Diazepam which is alsocalled valium, St. John’s Wort and a blood thinner called Warfarin. What are common side effects? Nausea and vomiting bloating, constipation, diarrhea or GIside effects, headache What a serious side effects especiallywith long-term use? If you have any of the following side effects tell yourdoctor right away: Symptoms such as an unusually fast heartrate a slow heart rate or even palpitations, muscle spasms that do notgo away, seizures all of these could be signs of a LOW magnesium level in facta very low magnesium level could lead to a condition called Torsadesde Pointes which can be fatal. If you have rash on your cheeks and nose ,joint painthat is getting worse these could be all signs of lupus.
Call your doctor right awayif you develop the following symptoms: persistent diarrhea, abdominal pain orcramping, fever, blood in your stool. This medication may really cause a severeintestinal condition called C-diff or Clostridium difficile associated diarrhea due to the type of bacteria and if you have the following symptomssuch as unusual weakness especially of the lower extremities or tongue numbnesstingling of your hand and feet. All of these could be signs andsymptoms of B12 deficiency especially if you use proton pump inhibitors such as Omeprazole daily for a longer period of time at least for more thanthree years. If you have symptoms such as rash, itching, swelling of the tonguemouth and face, difficulty breathing, swallowing all of these could be signs ofallergic reaction.
You need help right away.Long term PPI use can decrease bone density also called osteoporosis.The FDA has warned about possible increased risk of fractures of the hipwrist and spine. Long term PPI has also been associated with an increasedrisk of chronic kidney disease CKD progression and end-stage kidney disease,However, how this happens is not known. Further studies are needed. PPIs can cause acute interstitial nephritis. Signs are usually fever, rash, blood in the urine and confusion.You can treat this condition by stopping the offending medication whichwould be the PPI.
Obviously this is not a complete list of possible side effectsif you notice any other effects which are not listed please contact yourpharmacist or your doctor. What about the use of omeprazole and PPPs in older adults.Current recommendations in older patients is to avoid scheduled use for more thaneight weeks unless for high-risk patients or patients with certainmedical conditions such as erosive esophagitis or Barrett’s esophagitis forexample, especially in all adults there’s an increased risk of fractures and difficult associated colitis.Some studies have shown an association between the use of PPI is especially long-term use of PPS and dementia butother studies have not found an association between long-term use of PPIs and cognitive decline.
So the jury’s still out.Here’s a bonus section.When does the drug start working? It starts working within an hour of dosing with the maximum effect occurring within two hours it can last up to 72 hours. How long will ittake to restore my gastric acid level after stopping the medication? Acid levels return to previous levels within three to five days of discontinuation. Soa question of the day?
Did you know that omeprazole and other peepee PPIs cause decreased bone density and increase the risk of bone fracture? Were yousurprised it can affect your B12 levels and magnesium levels? Leave your comment sand answers in the comment section below. Thank you for checking out this channel. Have a good day.Bye Bye. No one’s listening eat This is a Bonus tip.If you had a lot to eat like some some soda or some cookiessome bars, pop in a PPI or pop in Omeprazole. You will feel better.KIDDING!