omeprazole

Brand: Prilosec

Prototype Drug
Drug Class: proton pump inhibitor
Drug Family: GI agent
Subclass: irreversible H+/K+-ATPase inhibitor (sulfonamide prodrug)
Organ Systems: gastrointestinal

Mechanism of Action

Prodrug activated in acidic environment of secretory canaliculus; active sulfenamide irreversibly binds H+/K+-ATPase; suppresses 95%+ of gastric acid production.

H+/K+-ATPase (proton pump) in parietal cells

Indications

  • GERD
  • peptic ulcer disease (duodenal and gastric)
  • H. pylori eradication (component of triple therapy)
  • Zollinger-Ellison syndrome
  • NSAID-induced ulcer prophylaxis
  • stress ulcer prophylaxis (ICU)

Contraindications

  • concurrent rilpivirine or atazanavir (pH-dependent absorption)
  • hypersensitivity

Adverse Effects

Common

  • headache
  • diarrhea
  • nausea
  • abdominal pain

Serious

  • Clostridium difficile infection (pH-dependent)
  • hypomagnesemia (prolonged use)
  • hip/spine fractures (long-term, high dose)
  • vitamin B12 deficiency (long-term)
  • CKD (epidemiological association)

Pharmacokinetics (ADME)

Absorption ~35-40% bioavailability (acid-labile; enteric-coated)
Distribution moderate Vd
Metabolism extensive hepatic CYP2C19 (major), CYP3A4
Excretion renal 77%
Half-life 0.5-3 hours
Onset 1-3.5 hours
Peak 1-2 hours
Duration 24+ hours (accumulates with repeated dosing)
Protein Binding 95-96%
Vd 0.3-0.4 L/kg

Drug Interactions

Drug / Agent Mechanism Severity
clopidogrel CYP2C19 inhibition reduces clopidogrel activation — reduce efficacy; use pantoprazole moderate
ketoconazole/itraconazole reduced absorption due to pH increase major
methotrexate reduces renal elimination of MTX — toxicity risk major
atazanavir/rilpivirine pH-dependent absorption reduced — contraindicated major

Nursing Considerations

  1. Take 30-60 minutes before first meal for maximum efficacy (inactive pump activation required)
  2. Demote-cap: crush and dissolve enteric granules in water for NG tube administration
  3. Long-term use >8 weeks: reassess need; lowest effective dose
  4. Monitor Mg2+ with prolonged use (>1 year)
  5. C. diff risk with prolonged acid suppression

Clinical Pearls

  • Irreversible binding: new pump synthesis needed for recovery; full effect takes 2-4 days
  • PPIs reduce clopidogrel activation: use pantoprazole (less CYP2C19 inhibition) if PPI required with clopidogrel

Safety Profile

Pregnancy generally-safe
Lactation use-with-caution
Renal Adjustment Not required
Hepatic Adjustment Required
TDM Not required