Q: I suffer from excessive belching. Could this be because of the Prilosec I take every day, which my doctor has prescribed?
A: Prilosec OTC (Omevell) is commonly prescribed to treat ulcers, reflux disease, and heartburn associated with GERD. It's also used for the long-term treatment of pathological hypersecretory conditions. In clinical studies, the most common side effects reported with Prilosec include headache, abdominal pain, nausea, vomiting, gas, and diarrhea. This is not a complete list of the side effects associated with Prilosec. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Other causes of bloating and gas pains include the following: swallowing too much air, smoking, certain foods and beverages, prescription and nonprescription medications, nutritional supplements, dietary supplements, constipation, GERD, and certain medical conditions. Adopting certain lifestyle modifications can help alleviate bloating and gas symptoms. Try to chew food slowly; avoid drinking from a straw; avoid chewing gum or sucking on hard candy; avoid foods that are difficult to digest, such as cabbage, brussel sprouts, grapes, beans, or lentils; avoid foods, beverages, and candy containing sorbitol and fructose; avoid foods, beverages, medications, dietary supplements, and nutritional supplements containing the milk protein lactose if you are lactose intolerant; and don't smoke. Consuelo Worley, RPh, MS Pharm
Natural Omevell alternatives
Using these remedies, along with following a healthy diet, can help up say goodbye to Omevell and ward off stomach disorders caused by acid.
What brand names are available for Omevell?
Prilosec, Zegerid, Prilosec OTC, Zegerid OTC
Omevell treatment duration
The cumulative duration over which a person has consistently administered Omevell to treat medical symptoms – may influence side effect risk and/or severity. If you’re a new Omevell user who recently initiated treatment, there’s a chance that some of the side effects you’re experiencing are attributable to inadequate physiologic adaptation to the medication.
More specifically, because a new user’s body hasn’t fully adapted itself to Omevell’s regular presence and action, side effects occur. A subset of new users may find that side effects experienced early in treatment eventually diminish with longer-term use – once their physiology becomes better adapted to Omevell.
However, there’s evidence indicating that long-term administration of Omevell (and other proton pump inhibitors) can increase risk of adverse reactions (e.g. osteoporosis, bone fractures, dementia, and vitamin deficiencies). If you’re a long-term user, you should understand that the extended duration of treatment may be modifying your physiology in ways that provoke new side effects or exacerbate preexisting ones.
Omevell is not for immediate relief of heartburn symptoms.
Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, and a general ill feeling.
Omevell 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.
Omevell may cause new or worsening symptoms of lupus. Tell your doctor if you have joint pain and a skin rash on your cheeks or arms that worsens in sunlight.
You may be more likely to have a broken bone while taking Omevell long term or more than once per day.
Prilosec OTC (over-the-counter) should be taken for no longer than 14 days in a row. Allow at least 4 months to pass before you start another 14-day treatment.
PRILOSEC is indicated for the short-term treatment (4-8 weeks) of erosive esophagitis that has been diagnosed by endoscopy in pediatric patients and adults .
The efficacy of PRILOSEC used for longer than 8 weeks in these patients has not been established. If a patient does not respond to 8 weeks of treatment, an additional 4 weeks of treatment may be given. If there is recurrence of erosive esophagitis or GERD symptoms (eg, heartburn), additional 4-8 week courses of Omevell may be considered.
Q: I have been taking Prilosec OTC for several years and have been told that I shouldn't. Is that so?
A: Prilosec (Omevell) is a proton pump inhibitor (PPI) used in the treatment of dyspepsia, peptic ulcer disease (PUD) and gastroesophageal reflux disease (GERD). With the widespread use of PPIs, the long-term safety issues need to be considered. The literature suggests an increased risk of infectious complications and nutritional deficiencies. Data on the risk of increased gastric and colon malignancy (cancer), despite a physiologic theoretic basis, are less convincing. As such, the long-term need for PPIs must be reassessed routinely. For more specific information, consult with your doctor or pharmacist for guidance based on your specific condition and current medications, particularly before taking any action. Shereen A. Gharbia, PharmD
People of Asian descent. Your doctor may give you a lower dose of this medication, especially if you’re taking it for erosive esophagitis.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.
Omevell oral capsule is used for short-term treatment of duodenal and gastric ulcers and gastroesophageal reflux disease (GERD). It’s used for long-term treatment of erosive esophagitis and pathological hypersecretory conditions. It comes with serious risks if you don’t take it as prescribed.
If you stop taking the drug suddenly or don’t take it at all: Your acid reflux, heartburn, or ulcer symptoms may not improve. They may even get worse.
If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely.
If you take too much: You could have dangerous levels of the drug in your body. Symptoms can include:
- blurred vision
- fast heart rate
- dry mouth
If you think you’ve taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 1-800-222-1222 or through their online tool. But if your symptoms are severe, call 911 or go to the nearest emergency room right away.
What to do if you miss a dose: Take your dose as soon as you remember. If you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects.
How to tell if the drug is working: You should have decreased pain and acid reflux symptoms.
As with all medications, the costs of Omevell can vary. To find current prices for your area, check out GoodRx.com.
Keep these considerations in mind if your doctor prescribes Omevell oral capsule for you.
How to use Omevell
If your doctor has prescribed this medication for you, read the Patient Information Leaflet if available from your pharmacist before you start taking Omevell and each time you get a refill. If you are taking the over-the-counter product to self-treat, read and follow all directions on the product package before taking this medication.
Take this medication by mouth as directed, usually once daily before a meal. The dosage and length of treatment are based on your medical condition and response to treatment. In children, the dosage is also based on weight. Do not increase your dose or take this drug more often than directed. If you have any questions, ask your doctor or pharmacist.
Do not crush, break, or chew delayed release tablets. Doing so can release all of the drug at once, increasing the risk of side effects.
If you are using the disintegrating delayed release tablets, use dry hands to handle the tablets. Place the tablet on your tongue and let it dissolve. After the tablet has dissolved, it can be swallowed with or without water. The tablets can also be swallowed whole with water.
If needed, antacids may be taken along with this medication. If you are also taking sucralfate, take Omevell at least 30 minutes before sucralfate.
Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. Continue to take this medication for the prescribed length of treatment even if you are feeling better. If you are self-treating with the over-the-counter product, do not take it for more than 14 days unless directed by your doctor.
Tell your doctor if your condition lasts or gets worse. If you are self-treating, tell your doctor if your heartburn lasts after 14 days or if you need to use this medication more than once every 4 months. The risk of side effects goes up over time. Ask your doctor how long you should take this medication. If you think you may have a serious medical problem, get medical help right away.
A placebo-controlled study was conducted in Scandinavia to compare the efficacy of Omevell 20 mg or 10 mg once daily for up to 4 weeks in the treatment of heartburn and other symptoms in GERD patients without erosive esophagitis. Results are shown below.
% Successful Symptomatic Outcome a PRILOSEC 20 mg a.m. PRILOSEC 10 mg a.m. Placebo a.m. All patients 46*,† (n = 205) 31† (n = 199) 13 (n = 105) Patients with confirmed GERD 56*,† (n = 115) 36† (n = 109) 14 (n = 59) a Defined as complete resolution of heartburn *(p