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Over the counter Proton pump inhibitors

Prilosec OTC

Generic name: omeprazole

Brand names: FIRST Omeprazole, Good Sense Omeprazole, Omeprazole + SyrSpend SF Alka, PriLOSEC, PriLOSEC OTC

Last updated November 3, 2026 0 views
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What is Prilosec OTC?

Prilosec OTC is used to treat symptoms of gastroesophageal reflux disease (GERD) and other issues caused by too much stomach acid. This medicine also helps heal erosive esophagitis (damage to your esophagus caused by stomach acid).

Prilosec OTC may also be used with antibiotics to treat gastric ulcers caused by an infection with Helicobacter pylori (H. pylori).

Over-the-counter (OTC) Prilosec OTC is for adults to help control heartburn that happens 2 or more days each week. Prilosec OTC is not for quick relief of heartburn symptoms. This medicine must be taken regularly for 14 days in a row.

Prilosec OTC may also be used for other reasons not listed in this medication guide.

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How should I take Prilosec OTC?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Use Prilosec OTC (over-the-counter) exactly as directed on the label, or as prescribed by your doctor.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

If you cannot swallow a capsule whole, open it and sprinkle the medicine into a spoonful of applesauce. Swallow the mixture right away without chewing. Do not save it for later use.

You must dissolve Prilosec OTC powder in a small amount of water. This mixture can either be swallowed or given through a nasogastric (NG) feeding tube using a catheter-tipped syringe.

Use Prilosec OTC for the full prescribed length of time, even if your symptoms quickly improve.

OTC Prilosec OTC should be taken for only 14 days in a row. It may take 1 to 4 days before your symptoms improve. Allow at least 4 months to pass before you start a new 14-day course of treatment.

Call your doctor if your symptoms do not improve, or if they get worse.

Some conditions are treated with a combination of omeprazole and antibiotics. Use all medications as directed.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using Prilosec OTC.

Store at room temperature away from moisture and heat.

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Warnings

Prilosec OTC can lead to kidney issues. Inform your doctor if you are urinating less than usual or if you notice blood in your urine.

Diarrhea may indicate a new infection. Contact your doctor if you experience diarrhea that is watery or contains blood.

Prilosec OTC may trigger new or worsening lupus symptoms. Notify your doctor if you experience joint pain along with a skin rash on your cheeks or arms that gets worse in sunlight.

You may have a higher risk of breaking a bone if you take Prilosec OTC for a long time or more than once per day.

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Before taking this medicine

Heartburn can feel similar to early signs of a heart attack. Seek emergency medical help if you experience chest pain that moves to your jaw or shoulder, and you feel sweaty or light-headed.

You should not use Prilosec OTC if you are allergic to it, or if:

  • you are also allergic to other medicines like Prilosec OTC, such as esPrilosec OTC, lansoprazole, pantoprazole, rabeprazole, Nexium, Prevacid, Protonix, and others;
  • you have had breathing problems, kidney problems, or a severe allergic reaction after taking Prilosec OTC before; or
  • you are taking HIV medication that includes rilpivirine (such as Complera, Edurant, Odefsey, Juluca).

Ask a doctor or pharmacist if this medicine is safe for you if you have:

  • trouble or pain swallowing;
  • bloody or black stools, or vomit that looks like blood or coffee grounds;
  • heartburn that has lasted over 3 months;
  • frequent chest pain, or heartburn with wheezing;
  • unexplained weight loss;
  • nausea or vomiting, or stomach pain;
  • liver disease;
  • low magnesium levels in your blood; or
  • osteoporosis or low bone mineral density (osteopenia).

You may be at a higher risk of breaking a bone in your hip, wrist, or spine while taking a proton pump inhibitor for a long time or more than once a day. Discuss with your doctor ways to maintain healthy bones.

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Do not give this medicine to a child without medical advice.

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Prilosec OTC 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.

Prilosec OTC may cause serious side effects. Stop using Prilosec OTC and call your doctor right away if you have:

  • severe stomach pain, diarrhea that is watery or bloody;
  • new or unusual pain in your wrist, thigh, hip, or back;
  • seizure (convulsions);
  • kidney problems--fever, rash, nausea, loss of appetite, joint pain, urinating less than usual, blood in your urine, weight gain;
  • low magnesium--dizziness, irregular heartbeats, feeling jittery, muscle cramps, muscle spasms, cough or choking feeling; or
  • new or worsening symptoms of lupus--joint pain, and a skin rash on your cheeks or arms that worsens in sunlight.

Taking Prilosec OTC long-term may cause you to develop stomach growths called fundic gland polyps. Talk with your doctor about this risk.

If you use Prilosec OTC 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 Prilosec OTC may include:

  • cold symptoms such as stuffy nose, sneezing, sore throat (especially in children);
  • fever (especially in children);
  • stomach pain, gas;
  • nausea, vomiting, diarrhea; or
  • headache.

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.

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What happens if I miss a dose?

Take the medicine as soon as possible, but skip the missed dose if it's nearly time for your next dose. Do not take two doses at the same time.

This section was rewritten for readability and reviewed for meaning.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Prilosec OTC can cause diarrhea, which may indicate a new infection. If you experience diarrhea that is watery or bloody, contact your doctor before taking any anti-diarrhea medicine.

This section was rewritten for readability and reviewed for meaning.

What other drugs will affect Prilosec OTC?

Sometimes it is not safe to use certain medications at the same time. Some drugs can change the levels of other drugs in your blood, which may increase side effects or make the medications less effective.

Tell your doctor about all your current medicines. Many drugs can affect Prilosec OTC, especially:

  • digoxin;
  • clopidogrel;
  • methotrexate;
  • St. John's wort;
  • a diuretic or "water pill"; or
  • an antibiotic--amoxicillin, clarithromycin, rifampin.

This list is not complete and many other drugs may affect Prilosec OTC. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

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Common questions about Prilosec OTC

Is famotidine safer than omeprazole for heartburn?
For most people with mild, occasional heartburn, famotidine is usually the safer first choice because it works quickly, can be taken as needed, and has fewer long‑term safety concerns than omeprazole. Omeprazole, a stronger acid reducer, may be a better option if you have frequent heartburn two or more days per week or confirmed GERD, but it is linked with more potential risks when used for many months or at high doses. Continue reading
What foods should I avoid when taking omeprazole?
There are no specific foods that interact with omeprazole, therefore there are no foods that you need to avoid. Continue reading
Pantoprazole vs. omeprazole: What's the difference between them?
Pantoprazole and omeprazole are both proton pump inhibitors (PPIs) that reduce stomach acid and show similar effectiveness for healing acid‑related conditions such as erosive esophagitis. Their main differences relate to FDA‑approved uses, availability (omeprazole is OTC; pantoprazole is prescription), timing with food, and the option for intravenous (IV) pantoprazole in the hospital setting. Continue reading
How soon after taking levothyroxine can I take omeprazole?
There is a known drug interaction between levothyroxine and omeprazole, but the timing of when you take the two medicines is not relevant. Omeprazole decreases the absorption of your thyroid medication. If you need to be on a course of omeprazole while taking levothyroxine, your doctor may order more frequent laboratory testing to confirm you are absorbing enough levothyroxine. Continue reading
Should I take omeprazole with or without food?
It is usually best to take Omeprazole 1 hour before meals. When omeprazole is taken with food, it reduces the amount of omeprazole that reaches the bloodstream. Continue reading
Can you take an antacid with omeprazole?
You can take an antacid with omeprazole if you are still getting symptoms of indigestion because it can take several days for omeprazole to start working. Take omeprazole as directed (usually taken once daily on an empty stomach), and take antacids as needed to relieve indigestion pain after eating. But tell your doctor if several weeks have gone past and omeprazole does not seem to be working or you are still taking antacids. Continue reading
Can I take omeprazole in the morning and famotidine at night?
Yes, you could take omeprazole in the morning and famotidine at night but there are not many studies investigating this approach. Preliminary results suggest that taking your medication this way may provide superior control of gastric acid secretion at night without compromising the effectiveness of omeprazole in the morning. More research is needed. Continue reading
Is omeprazole (Prilosec) bad for your kidneys?
Omeprazole (Prilosec) is a proton pump inhibitor (PPI) that is used to reduce the amount of acid in your stomach and it can be bad for your kidneys. It can cause acute kidney injury and may also worsen the progression of chronic kidney disease (CKD). Continue reading

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Before you take this medicine: the information on this page is general and may not cover your personal circumstances. Read the label supplied with your medicine and ask a pharmacist or doctor if you are unsure, especially if you are pregnant, breastfeeding, taking other medicines or managing a long-term condition.
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