omeprazole Flashcards
1
Q
indication
A
heartburn associated with acid reflux
2
Q
dose
A
20mg OD for up to 14 days
3
Q
age restriction
A
over 18yrs
4
Q
interactions
A
- Diazepam
- Phenytoin
- Warfarin
-> CYP450, dec elimination
- Ketoconazole, traconazole
-> dec intragastric acidity, reduces absorption - Digoxin
-> altered absorption
5
Q
referral for omeprazole
A
- No improvement after 14 days
- <18yrs
- > 55yrs
- > 45yrs recurrent GORD and taking OTC
Red flags for gastric cancer:
- Dysphagia
- Unexplained weight loss
- Blood in stool/vomit
- Persistent vomiting
- Epigastric mass
- Severe stomach pain
- Hx gastric ulcer
6
Q
counselling for heartburn/acid reflux
A
- Smaller meals
- Tight clothes
- Posture
- Fast foods, greasy foods
- Eat slower
- Raise head of bed
