Omeprazole and sodium bicarbonate
Generic name: omeprazole and sodium bicarbonate [ oh-ME-pray-zol-and-SO-dee-um-by-KAR-bon-ate ]
Brand names: Zegerid, Zegerid OTC
Dosage forms: oral capsule (20 mg-1100 mg; 40 mg-1100 mg); oral powder for reconstitution (20 mg-1680 mg; 40 mg-1680 mg)
Drug class: Proton pump inhibitors
What is omeprazole and sodium bicarbonate?
omeprazole and sodium bicarbonate is also used to treat certain type of ulcers, or to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).
Omeprazole and sodium bicarbonate may also be used for purposes not listed in this medication guide.
Omeprazole can cause kidney problems. Tell your doctor if you are urinating less than usual, or if you have blood in your urine.
Diarrhea may be a sign of a new infection. Call your doctor if you have diarrhea that is watery or has blood in it.
You may be more likely to have a broken bone while taking this medicine long term or more than once per day.
This medicine contains sodium bicarbonate, a form of salt. Tell your doctor if you have Bartter's syndrome (a rare kidney disorder), or if you are on a low-salt diet.
Before taking this medicine
Heartburn can mimic early symptoms of a heart attack. Get emergency medical help if you have chest pain that spreads to your jaw or shoulder and you feel anxious or light-headed.
You should not take omeprazole and sodium bicarbonate if you are allergic to omeprazole or sodium bicarbonate, or if:
you had breathing problems, kidney problems, or a severe allergic reaction after taking this medicine in the past; or
This medicine contains sodium bicarbonate, a form of salt. Each capsule contains the equivalent of 300 mg of sodium. Each packet of powder contains the equivalent of 460 mg of sodium. If you are on a low-salt diet, you may not be able to use omeprazole and sodium bicarbonate. Talk with your doctor.
Ask a doctor or pharmacist if this medicine is safe to use if you have:
a rare kidney disorder called Bartter's syndrome;
problems with acid-base (pH) balance in your body;
low levels of calcium, magnesium, or potassium levels in your blood;
if you are on a low-sodium diet; or
if you are of Asian descent.
You may be more likely to have a broken bone in your hip, wrist, or spine while taking a proton pump inhibitor long-term or more than once per day. Talk with your doctor about ways to keep your bones healthy.
Ask a doctor before using this medicine if you are pregnant or breastfeeding.
Omeprazole and sodium bicarbonate is not approved for use by anyone younger than 18 years old.
How should I take omeprazole and sodium bicarbonate?
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Omeprazole and sodium bicarbonate is for short-term use only, usually 4 to 8 weeks. Erosive esophagitis may take longer to heal. Follow your doctor's dosing instructions very carefully.
Take this medicine on an empty stomach, at least 1 hour before eating a meal.
Take the omeprazole and sodium bicarbonate capsule with a full glass of water. Do not use any other type of liquid or food. Swallow the capsule whole and do not crush, chew, break, or open it.
To use the powder form, open a packet and pour all of the powder into a small cup with 1 or 2 tablespoons of water. Do not use any other type of liquid. Stir and drink this mixture right away. Add a little more water to the glass, swirl gently and drink right away.
Do not use two 20-mg capsules to equal one 40-mg capsule. Do not use two 20-mg powder packets to equal one 40-mg powder packet. If you do not use the exact capsule or powder packet your doctor has prescribed, you may receive too much sodium bicarbonate.
Read and carefully follow any Instructions for Use if you are giving this medicine to a person who is fed through a nasogastric (NG) tube. Ask your doctor or pharmacist if you do not understand these instructions.
Store at room temperature away from moisture and heat.
What happens if I miss a dose?
Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking omeprazole and sodium bicarbonate?
omeprazole and sodium bicarbonate can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor before using anti-diarrhea medicine.
If you take this medicine long-term, ask your doctor if you should also use calcium supplements. Also ask your doctor about sources of calcium in your diet from milk or other dairy products. Getting too much calcium while taking omeprazole and sodium bicarbonate may be harmful to your kidneys.
Omeprazole and sodium bicarbonate side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Omeprazole and sodium bicarbonate may cause serious side effects. Call your doctor at once if you have:
severe stomach pain, diarrhea that is watery or bloody;
new or unusual pain in your wrist, back, hip, or thigh;
muscle twitching or tremor;
numbness or tingling in your face, arms, or legs;
low magnesium--dizziness, irregular heartbeats, feeling jittery, muscle cramps, muscle spasms, cough or choking feeling;
kidney problems--fever, rash, nausea, loss of appetite, joint pain, urinating less than usual, blood in your urine, weight gain;
new or worsening symptoms of lupus--joint pain, and a skin rash on your cheeks or arms that worsens in sunlight; or
vitamin B12 deficiency--shortness of breath, feeling lightheaded, irregular heartbeats, muscle weakness, pale skin, tiredness, mood changes.
Taking this medicine long-term may cause you to develop stomach growths called fundic gland polyps. Talk with your doctor about this risk.
If you use omeprazole and sodium bicarbonate for longer than 3 years, you could develop a vitamin B-12 deficiency. Talk to your doctor about how to manage this condition if you develop it.
Common side effects of omeprazole and sodium bicarbonate may include:
nausea, vomiting, stomach pain, gas; or
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.
Omeprazole and sodium bicarbonate dosing information
Usual Adult Dose for Duodenal Ulcer:
Omeprazole 20 mg orally once a day
-Duration of therapy: 4 weeks
Comment: If patients are not healed after 4 weeks, treatment for another 4 weeks may be considered.
Use: Short-term treatment of active duodenal ulcer
Usual Adult Dose for Gastric Ulcer:
Omeprazole 40 mg orally once a day
-Duration of therapy: 4 to 8 weeks
Use: Short-term treatment of active benign gastric ulcer
Usual Adult Dose for Gastroesophageal Reflux Disease:
Omeprazole 20 mg orally once a day
-Duration of therapy: Up to 14 days (Over-the-Counter [OTC] formulations); Up to 4 weeks (prescription formulations)
-The OTC formulation course of treatment may be repeated every 4 months as necessary.
-The full effect of treatment may not be reached for up to 4 days.
-Treatment of symptomatic gastroesophageal reflux disease (GERD) without esophageal erosions (prescription formulations)
-Treatment of frequent heartburn occurring at least 2 days a week (OTC formulations)
Usual Adult Dose for Erosive Esophagitis:
Treatment: Omeprazole 20 mg orally once a day
-Duration of therapy: 4 to 8 weeks
Maintenance: Omeprazole 20 mg orally once a day
Controlled studies for the efficacy in treatment of erosive esophagitis did not extend beyond 8 weeks.
-An additional 4 to 8-week course of therapy may be considered in patients with a recurrence of erosive esophagitis or GERD symptoms after initial treatment.
-Controlled studies for maintenance therapy did not extend beyond 12 months.
-Short-term treatment of erosive esophagitis diagnosed by endoscopy
-Maintenance of healing of erosive esophagitis
Usual Adult Dose for Gastrointestinal Hemorrhage:
Oral suspension: Omeprazole 40 mg orally, followed by 40 mg 6 to 8 hours later, and 40 mg orally once a day thereafter
-Duration of therapy: 14 days
Comment: Controlled studies did not extend past 12 months.
Use: Reduction of risk of upper gastrointestinal bleeding in critically ill patients
What other drugs will affect omeprazole and sodium bicarbonate?
Tell your doctor about all your current medicines. Many drugs can affect omeprazole and sodium bicarbonate, especially:
This list is not complete and many other drugs may affect omeprazole and sodium bicarbonate. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
More about omeprazole / sodium bicarbonate
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- During pregnancy
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- Drug class: proton pump inhibitors
- Advanced Reading
- Omeprazole and Sodium Bicarbonate Capsules
- Omeprazole and Sodium Bicarbonate Powder Packets
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