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How long can you take prilosec?
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How long can you take prilosec?
Levothyroxine is known to interact with many other medications (called a drug-drug interaction), but there are different kinds of drug-drug interactions. In fact, one study reported that PPI use causes a 25% increase in overall fracture and a 47% increase in spinal fractures in postmenopausal women. Schedule a free, no-obligation phone consultation with one of our intake specialists to find out more. Antacids neutralize excess stomach acid to relieve heartburn, sour. Answer. It is safe to take painkillers such as paracetamol or ibuprofen at the same time as omeprazole. For ulcers, GERD, erosive esophagitis and eradication of H. A doctor has provided 1 answer. While taking Amoxicillin, Clarithromycin, and Omeprazole, you should not take any of the following medicines: Ergomar, Cafergot, Ercaf, and Migergot: can affect the heart and endanger the patient's life. Other complications of long-term use can include mineral deficiencies, an increased risk for fracture, C diff infections and pneumonia. But it may not always be the best choice since it can interact with other medications you may take Omeprazole is a proton pump inhibitor (PPI). are due to have an endoscopy. Follow your doctor's advice regarding proper supplementation. View more. Omeprazole and sodium bicarbonate combination is used to treat certain conditions where there is too much acid in the stomach. Jan 13, 2005 · I have been taking Nexium since it came on the market, and changed to Prilosec or Omeprazole as they where cheaper and cured my heartburn and acid reflux, I have been taking them every morning ever since they where on the market, Nexium was prescribed by my physician they where in 40mg capsules, when I went to France I got them in 40mg pills and cut them in half, now I can by Prilosec in 20 mg. In that case, it is recommended that you take between 20 and 40 billion CFU of probiotics per day. Omeprazole may be an option if your heartburn occurs two or more days per week. Exact Answer: At least 20 to 24 hours. Afterwards, we recommend avoiding eating or drinking for 30-60 minutes. Just be sure to follow the dosage instructions provided by your healthcare provider. It works by decreasing the amount of acid your stomach makes. Omeprazole capsules can be taken with or without food but should be taken in. Answer. To treat duodenal ulcer: Adults—20 milligrams (mg) once a day for 4 to 8 weeks. masso 11 Aug 2018. It is usually used in applications that need large cooling capacity though smaller units are becoming popular in residential applic. signs of new infection--fever, cough, tiredness, trouble breathing, sores or white patches in your mouth or throat, stomach pain, vomiting, neck pain, sensitivity to light. The effects of PPIs last longer than those of H2 blockers. Lots More Information - For more Macy's Thanksgiving Day Parade information and information on related topics, check out these links. These link files can point to a program, another file or folder, or even a w. Feb 1, 2019 · Wait and take it before 1 hour prior to your other meal. It can be used as needed, provides quick relief (within 15 to 30 minutes), and is usually less expensive than omeprazole. Together, you can discuss ways to stop the medication safely. View drug interactions between Macrobid and omeprazole. However, this strategy may not be effective for everyone. Long-term side effects. Delta Air Lines is set to resume its seasonal nonstop service from its hub in Salt Lake City (SLC) to London-Heathrow (LHR) on June 6, 2022. You have to take it 1 hour minimum before your meal, otherwise it will not protect your stomach from food or medications. a Famotidine(Pepcid-AC) or Omeprazole (Prilosec)-like product? Let's start with the basics. Prilosec OTC stops the stomach from making acid. Take omeprazole as directed (usually taken once daily on an empty stomach), and take antacids as needed to relieve indigestion. Untreated reflux can cause ulcers, BE or worse! 60M, been on it for ~15 years. Long-term Prilosec use has been linked to kidney damage, bone fractures and other dangerous side effects. Includes: how it works, upsides, downsides, bottom line, tips, response and effectiveness. 6, 2021 /PRNewswire/ -- At the 2021 Xueqiu Investor Conference, CooTek (Cayman) Inc. Talk with your doctor about this risk. Many fast foods are high. Take omeprazole as directed (usually taken once daily on an empty stomach), and take antacids as needed to relieve indigestion pain after eating. Your doctor may want you to take omeprazole for more than 8 weeks for certain conditions. Long term continuous omeprazole treatment of patients with Barrett's oesophagus Aliment Pharmacol Ther Nexium (esomeprazole magnesium) and Prilosec (omeprazole magnesium) are two medications in a drug class called proton pump inhibitors, or PPIs. Check with your doctor right away if you or your child has a change in frequency of. September 6, 2022. If you experience more severe diarrhea that does not improve, seek the care of your healthcare provider as this could be a sign of a more. Therefore, it is unsurprising that a common side effect of omeprazole withdrawal is a return of heartburn symptoms. Medicines to treat heartburn, also called gastroesophageal reflux disease (GERD), work by suppressing stomach acid. When taking OTC omeprazole products, limit use to 14 days. It depends on what kind of Omeprazole you are getting. Tell your doctor if you have symptoms of low vitamin B-12 levels, including. Shareholders equity is a measu. Cimetidine (Tagamet HB) can interact with many medications; it can cause some medications to work less well and raise your risk for side effects from other medications. Talk with your doctor about this risk. Omeprazole controls acid production in the stomach only and does not affect the acid/alkaline balance of the body. Statins are common medications that lower high cholesterol. Untreated reflux can cause ulcers, BE or worse! 60M, been on it for ~15 years. Nov 21, 2022 · Sudden pain, bruising, or swelling (symptoms of a bone fracture) Ulcers or irritation in the mouth. Several tests and procedures are used to determine whether you have Helicobacter pylori (H Testing is important for detection of Helicobacter pylori (H Repeat testing after treatment is important to be sure H Tests may be done using a stool sample, through a breath test and by an upper endoscopy exam. Diarrhea. take 40mg prilosec daily&360mg phazyme at meals. Prilosec OTC may take one to four days for full effect, although some consumers may get complete relief of symptoms within 24 hours. Lansoprazole (brand name: Prevacid) and omeprazole (brand name: Prilosec) belong to a class of medications known as proton pump inhibitors (PPIs). While Prilosec can technically be given anytime of the day, it is most effective if dosed in the morning. Use these tips to guide you in making healthier choices when eating in a fast food restaurant. She took Tums, an antacid, but it. Nov 21, 2022 · Sudden pain, bruising, or swelling (symptoms of a bone fracture) Ulcers or irritation in the mouth. Prilosec OTC may take one to four days for full effect, although some consumers may get complete relief of symptoms within 24 hours. Do not take St John's wort, the herbal remedy for depression, while you're taking omeprazole Official answer. Prevacid is used to treat and prevent stomach and intestinal ulcers. Routhenstein says these antacid medications are meant to work oppositely to turmeric's effect. This may not work to control your symptoms if you're starting a PPI for the first time. GERD is a condition where the acid in the stomach washes back up into the esophagus. Celecoxib may be used to relieve pain and inflammation. The short answer: Omeprazole is commonly prescribed once daily in the morning half an hour before breakfast. Ask your doctor if you should stop taking omeprazole a few weeks before your endoscopy. Weight gain has been reported in some people taking omeprazole since the drug was. Both omeprazole and famotidine are generally safe medications with short-term use as long as you follow the prescribed instructions. 2-4 Since 2010, the FDA has issued various safety warnings regarding the potential effects of long-term use of PPIs: risk of fractures, hypomagnesemia, Clostridium difficile -associated diarrhea, vitamin B 12 deficiency, acute. Long-term Prilosec use has been linked to kidney damage, bone fractures and other dangerous side effects. Tetracycline antibiotics, including doxycycline, often come with a warning that states "do not take iron supplements, multivitamins, calcium supplements, antacids, or laxatives within 2 hours before or after taking. My preference is Zegrid. Talk with your doctor about this risk. May 13, 2024 · Taking omeprazole long-term may cause you to develop stomach growths called fundic gland polyps. pains in the stomach, side, or abdomen, possibly radiating to the back pinpoint red spots on the skin. Marks: Well, Prilosec has been taken by many individuals for 10 to 15 years at this point. Need a PHP development company in New York City? Read reviews & compare projects by leading PHP developers. "They spend most of their t. Take omeprazole as directed (usually taken once daily on an empty stomach), and take antacids as needed to relieve indigestion pain after eating. essential geography textbook nigeria pdf free download May 9, 2023 · 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. The dose is usually 5 to 20 mg once a day before a meal. If you use omeprazole for longer than 3 years, you could develop a vitamin B-12 deficiency. You should take omeprazole tablets first thing in the morning unless you are taking the medicine twice per day or for nocturnal acid reflux symptoms. For Zollinger-Ellison syndrome, you can take it twice a day - in the morning and in the evening. A doctor has provided 1 answer. Low Molecular Weight Heparins (Fragmin, Lovenox, Danaparoid) Warfarin (Coumadin) Upper Endoscopy and Colonoscopy Some medications (prescription and over-the-counter) can reduce your body's ability to form blood clots and taking these bef. Then, stir and drink the entire dose within 30 minutes of mixing. Take omeprazole as directed (usually taken once daily on an empty stomach), and take antacids as needed to relieve indigestion pain after eating. Unlike prescription Prilosec, Prilosec OTC is. It works by inhibiting the proton pumps in your stomach. These actions explain why coffee may sometimes cause heartburn and acid reflux. Your doctor may want you to take omeprazole for more than 8 weeks for certain conditions. View drug interactions between Macrobid and omeprazole. It works more as a preventive medication for heartburn than a quick treatment, Dr Who may not be able to take omeprazole. 5 mg packet contents with 1 teaspoon (5 mL) of water or the 10 mg packet contents with 1 tablespoon (15 mL) of water. PPIs are the most effective treatment for healing damage to the esophagus and helping manage GERD symptoms in the long term. It may be prescribed short term or long term. Fluconazole can increase the blood levels of omeprazole. Jun 10, 2024 · 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. Side effects of omeprazole. sarco gun kits Questions and Answers on Prilosec OTC; Labeling. They are used to treat symptoms of gastroesophageal. Jan 22, 2024 · Taking Prilosec OTC long-term may cause you to develop stomach growths called fundic gland polyps. So, overall: Take omeprazole 30 minutes before or 2 hours after sucralfate to best avoid an interaction. You'll usually take omeprazole once a day, in the morning. Aug 2, 2023 · Prilosec (Omeprazole) may treat, side effects, dosage, drug interactions, warnings, patient labeling, reviews, and related medications including drug comparison and health resources. Morphine Injection: learn about side effects, dosage, special precautions, and more on MedlinePlus FDA Drug Safety Communication: [Posted 4/13/2023] Morphine injection may be habit. Jun 22, 2023 · When taking a medication like Pepcid or Prilosec, “long-term” refers to a period longer than the 14-day period that is generally considered safe for use by any given patient. It works more as a preventive medication for heartburn than a quick treatment, Dr Who may not be able to take omeprazole. Pentoxifylline (Trental) Ticlopidine (Ticlid) Tirofiban (Aggrastat) Anti-coagulants: Heparin. Children 6 to 12 years of age—Dose is based on body weight and must be determined by your doctor. Omeprazole (Prilosec®). Omeprazole is a medication that reduces the amount of acid in your stomach. In conclusion, omeprazole typically starts to show its effects within 2-3 days of beginning the medication. Take omeprazole as directed (usually taken once daily on an empty stomach), and take antacids as needed to relieve indigestion. PPIs are among the most commonly prescribed drugs in the United States. Various medicines should not be taken together because they can cause chemical reactions within your body. bjpercent27s around me Long-term use of omeprazole and sodium bicarbonate may increase your risk of serious side effects including stomach polyps. Adults—20 milligrams (mg) once a day before a meal. You need 5 mL of water for each 2. Long-term use of omeprazole has been linked to: Lower bone density (weakened bones) Low magnesium levels. Poison Control's expert guidance is always free, confidential, and available 24 hours a day. Short-term use of omeprazole is likely very safe, but you should talk to your doctor if you have been taking omeprazole long term or have been prescribed it long term. But if it works for you, don't stop it unless directed to by your doctor. In that case, it is recommended that you take between 20 and 40 billion CFU of probiotics per day. Talk to a pharmacist or your doctor before buying any over-the-counter medicine to check if it is compatible with clopidogrel. Prilosec works better for longer-lasting relief, whereas Pepcid kicks in faster but may not be as effective long term. Jun 22, 2023 · What Is Considered Long-Term for Taking Pepcid or Prilosec? When taking a medication like Pepcid or Prilosec, “long-term” refers to a period longer than the 14-day period that is generally considered safe for use by any given patient. A small study of 98 people compared Pepcid and Prilosec for the. Answer. Taking amoxicillin, clarithromycin, and omeprazole long-term may cause you to develop stomach growths called fundic. Omeprazole and pantoprazole are examples of PPIs. Breakfast, including any coffee or milk, can be eaten 30-60 minutes later.
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Wondering how to start a quail farm? From writing a business plan to marketing, here's everything you need to know. 6, 2021 /PRNewswire/ -- At the 2021 Xueqiu Investor Conference, CooTek (Cayman) Inc. Jul 1, 2024 · Read and follow these instructions carefully. The key is, make certain you take it once a day. After the first day: 40 mg once a day for up to 14 days. Children 6 to 12 years of age—Dose is based on body weight and must be determined by your doctor. But you may need to take higher dosages for more serious health conditions. Hypothyroidism is a long-term commitment and we're committed to you. They're effective medications for treating gastroesophageal reflux disease (GERD). Effect of esomeprazole 40 mg vs omeprazole 40 mg on 24-hour intragastric pH in patients with symptoms of gastroesophageal reflux disease. For example, omeprazole may interact with calcium channel blockers, potentially causing an increased risk of side effects. Levothyroxine should be taken first thing in the morning, 30 to 60 minutes prior to eating breakfast. After the drug is stopped, normal levels of stomach acid return in 3 to 5 days. lowriders for sale in san antonio Talk with your doctor about these risks. On the other, they'll ruin the smoothest of hands. Expert Advice On Improving Your Home Videos Latest V. Celebrex (celecoxib) relieves pain and inflammation by blocking COX-2 enzymes, which are responsible for the synthesis of prostaglandins (prostaglandins are released during inflammation and elevate body temperature and make nerve endings more sensitive to pain transmission. Very few medical conditions require omeprazole to be taken for longer periods. Proton pump inhibitors (PPIs) are an antacid drug often used in acid-related disorders. Taking a pill just 30 minutes before a reflux-triggering meal. Long-term use of omeprazole has been linked to: Lower bone density (weakened bones) Low magnesium levels. It worked so I never thought anything about it and added it to my morning vitamin regimen. 1 Celebrex is a brand (trade) name of the drug celecoxib. Mar 22, 2023 · It stopped the burning sensation. I've read somewhere on the internet that you can't take it for that long at a time; it may cause fundic polyps of the stomach (which I recently had removed during an endoscopy). Taking Omeprazole before will ensure that it is fully absorbed by the body and can offer adequate protection for the stomach lining when Naproxen is taken and starts to be digested and absorbed by the stomach. As with OTC Nexium, OTC Prilosec is also used for short-term treatment of frequent indigestion or heartburn two or more times per week. The pills are taken before a meal but you don't have to wait to eat PPIs cause few adverse effects with short-term use; however, long-term PPI use has been associated with an increased risk of all-cause mortality in two cohorts of institutionalized older persons. Prilosec. 20mg once a day in the morning. Reducing your omeprazole dose slowly over time-or "tapering off"—is one strategy to avoid rebound acid reflux. Here's our NewRetirement review. pittsburgh crime rate map In general, famotidine tends to cause fewer short-term side effects, such as nausea , vomiting, and stomach upset. Effect of esomeprazole 40 mg vs omeprazole 40 mg on 24-hour intragastric pH in patients with symptoms of gastroesophageal reflux disease. If you use omeprazole for longer than 3 years, you could develop a vitamin B-12 deficiency. Untreated reflux can cause ulcers, BE or worse! 60M, been on it for ~15 years. Proton pump inhibitors are generally safe when you use them as directed. Since it's available over the counter (OTC), it's a convenient choice to treat your symptoms. Taking Prilosec long-term may cause you to develop stomach growths called fundic gland polyps. Thanks for reaching out! People who take multiple daily doses of proton pump inhibitor medicines for a long period of time (a year or longer) may have an increased risk of fractures of the hip, wrist, or spine. Slippery elm, 1-2 tbsp of powdered root in water or 400-500 mg capsules or 5 mL of a tincture three to four times daily. Mar 18, 2024 · The most common omeprazole (Prilosec) dosage is 20 mg by mouth once a day. Ask your doctor if you should stop taking omeprazole a few weeks before your endoscopy. The short answer: Omeprazole is commonly prescribed once daily in the morning half an hour before breakfast. If you find that your symptoms persist or. 1. They decrease acid secretion in the stomach by blocking an enzyme called H+/K+ ATPase which controls acid production. So, overall: Take omeprazole 30 minutes before or 2 hours after sucralfate to best avoid an interaction. This can potentially delay its effectiveness in reducing stomach acid. 5 mg packet and 15 mL of water for each 10 mg packet. Wait 2 to 3 minutes. The dose is usually 5 to 20 mg once a day before a meal. The most common omeprazole (Prilosec) dosage is 20 mg by mouth once a day. Doctor's Assistant chat. cmich edu The dose is usually 5 to 20 mg once a day before a meal. Children 1 year of age and older—Dose is based on body weight and must be determined by your doctor. Two different chemical processes. Consistency is key, so it's crucial to take omeprazole at the same time every day for optimal effectiveness. Advertisement Please copy/paste the following. Respiratory infections like pneumonia. Let sit for 2 to 3 minutes, stir, and drink. Take omeprazole as directed (usually taken once daily on an empty stomach), and take antacids as needed to relieve indigestion pain after eating. Take omeprazole as directed (usually taken once daily on an empty stomach), and take antacids as needed to relieve indigestion pain after eating. It takes between 30 minutes and two hours for omeprazole to begin to take effect. Your doctor may want you to take omeprazole for more than 8 weeks for certain conditions. And do not skip a day or your gut will let you hear all about it if you do. Both omeprazole and famotidine are generally safe medications with short-term use as long as you follow the prescribed instructions. Schedule a free call with one of our health care advisors. It can be given as a single dose for vaginal candidiasis. The dose is usually 5 to 20 mg once a day before a meal. Carol first started having heartburn symptoms in 2005. Applies to: fluconazole and omeprazole. Taking Omeprazole before will ensure that it is fully absorbed by the body and can offer adequate protection for the stomach lining when Naproxen is taken and starts to be digested and absorbed by the stomach. Side effects of long-term omeprazole use. This is often painful and it can damage the food pipe. Talk with your doctor about this risk. Shannon Lee, RPh, BSPharm. Last updated on Aug 22, 2023 by Drugs There is no set limit on how long you can safely take prednisone.
Still, everyone responds differently to drugs, and a medical provider can determine which one is best for long-term treatment of GERD, reflux, or other conditions. Respiratory infections like pneumonia. Reducing your omeprazole dose slowly over time-or "tapering off"—is one strategy to avoid rebound acid reflux. Blocking stomach acid and other secretions may also block B-12 absorption. However, longer courses may indeed be prescribed. kawaii cute animals drawings Proton-pump inhibitors (PPIs) are a common type of anti-acid medication, and are available both by prescription and over the counter. Although there can be reappearance of squamous epithelium in Barrett's oesophagus of some patients during treatment with omeprazole 20 mg o over 12-24 months, a significant shortening of the columnar lined segment is not seen. The treatment schedule consists of taking one tablet daily. Marks: Well, Prilosec has been taken by many individuals for 10 to 15 years at this point. However, it is 12 hours or less until. One Hour. Omeprazole can be obtained over-the-counter (OTC) or via prescription (Rx), while pantoprazole is an Rx-only medication. Proton pump inhibitors, commonly used for gastroesophageal reflux disease and other health conditions, can affect your kidneys A 1-2 hour waiting period is recommended between taking omeprazole and NSAIDs like naproxen to prevent stomach upset and reduced drug efficacy from the altered pH environment omeprazole creates. Zegerid instructions for when swallowing the oral suspension and capsules, is to take. bikini victoria secret Find out how astronauts exercise in space and why it's so important. Avoid taking omeprazole long-term. Calluses on your hands from the gym are both blessing and a curse. Omeprazole and sodium bicarbonate combination is used to prevent upper gastrointestinal tract bleeding in seriously ill patients. Each tablet contains 81 or 325 milligrams (mg) of aspirin and 40 mg of omeprazole. If you take omeprazole twice a day, take 1 dose in the morning and 1 dose in the evening. mazda online parts catalogue In a 2021 study , researchers found evidence that most people who had a response to PPIs within 4 weeks also had a response within 2 weeks. vegetables cause more pain. Read about diversification and how to use it when allocating your investments. How and when to take omeprazole. 5 mg packet (or 15 mL of water for the 10 mg packet). These include esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), rabeprazole (Aciphex) and dexlansoprazole (Dexilant) But if medicines don't help or you wish to avoid long-term medicine use, a healthcare professional might recommend:.
Prilosec OTC is a 14-day regimen that can be used up to three times a year, but not more often than every 4 months. Some of these concerns include hypergastrinemia, development of pneumonia, dementia, and drug interactions. If you get any of these symptoms, tell your doctor. 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. People taking omeprazole for long periods of time may become deficient in some vitamins and minerals, including vitamin B-12 and magnesium. pylori the recommended dose for adults is 20-40 mg daily. However, you can take it also at night. Wait and take it before 1 hour prior to your other meal. When omeprazole is taken with food it reduces the amount of omeprazole that reaches the bloodstream. After the drug is stopped, normal levels of stomach acid return in 3 to 5 days. We've always liked Android on our TVs, be it through Google TV or an HDMI-enabled Android tablet, but neither offers an easily-transportable and dedicated home theater PC setup Investment diversification helps protect your assets in the long-term. For Zollinger-Ellison syndrome, you can take it twice a day - in the morning and in the evening. omeprazole interacts with more than 100 other drugs. How long is it safe to take Prilosec continuously? Dr. These drugs are approved by the FDA. By Nisa Desai, MD, Contributor, and Loren Rabinowitz, MD, Contributor. Jan 4, 2024 · Instead, omeprazole takes time to start working, which can vary depending on the reason you’re taking it. craigslist used rv parts Jul 24, 2019 · People taking omeprazole for long periods of time may become deficient in some vitamins and minerals, including vitamin B-12 and magnesium. Its effects of decreasing stomach acid begin within an hour and last as long as 72 hours. Like Nexium, it works by decreasing acid in the stomach. Some of these concerns include hypergastrinemia, development of pneumonia, dementia, and drug interactions. Jun 10, 2024 · 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. Do not take Prilosec OTC for more than 14 days or more often than every 4 months unless directed by a doctor. When taking OTC omeprazole products, limit use to 14 days. We love a good DIY project around here, but even the most seasoned DIY-ers still need to call a professional. Love Google Maps? Google Maps Mania is a si. SHANGHAI, Dec. Adults—The first day: 40 milligrams (mg) for the first dose, then after 6 to 8 hours, a second 40 mg dose. Most individuals experience significant relief from their symptoms by the 4-week mark. Talk with your doctor about this risk. But if you have been taking one for a while, this seems to be an effective way to stop Try other GERD medication. Sudden pain, bruising, or swelling (symptoms of a bone fracture) Ulcers or irritation in the mouth. lee krasner. Long-term Prilosec use has been linked to kidney damage, bone fractures and other dangerous side effects. Your doctor may want you to take omeprazole for more than 8 weeks for certain conditions. Heart rhythm problems are also possible. Most conditions can be treated with 20 to 40 mg of prescription-strength Prilosec once a day, but hypersecretory conditions (like GERD) may require a higher dose. If you use omeprazole for longer than 3 years, you could. Quick easy-to-read overview of famotidine. Antacids neutralize excess stomach acid to relieve heartburn, sour. Answer. Using omeprazole “as needed” isn’t as effective as using it daily. Research shows that PPIs like omeprazole can cause kidney problems. With Prilosec OTC, you can block the acid that causes frequent heartburn for 24 hours with one pill in the morning. Celebrex (celecoxib) relieves pain and inflammation by blocking COX-2 enzymes, which are responsible for the synthesis of prostaglandins (prostaglandins are released during inflammation and elevate body temperature and make nerve endings more sensitive to pain transmission. As with OTC Nexium, OTC Prilosec is also used for short-term treatment of frequent indigestion or heartburn two or more times per week. Histamine 2 (H2) blockers: H2 blockers, such as Pepcid (famotidine.