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MEDICINE 

​Pharmacology - Omeprazole

12/16/2023

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​Pharmacology - Omeprazole 
Omeprazole's action is to inhibit the release of acid from the stomach.

Method of Operation 
The H+/K+-ATPase, also known as the proton pump, in the gastric parietal cells is bound in an irreversible manner, which inhibits the transport of H+. Omeprazole is a prodrug, just like other proton pump inhibitors (PPIs). The medication is transformed into its active form by the acidic conditions that exist within the canaliculi of the parietal cells.

P450 metabolism in the liver is responsible for the majority of the elimination (half life, 1–2 hours), although the duration of action is protracted (two to three days) due to the presence of covalent binding. Recuperation rate is directly proportional to the amount of new PP molecules that are produced. In order to prevent the effect of acid before to absorption, enteric coating is required.

Use in Clinical Settings
Both duodenal and peptic ulcers are present. A disorder known as gastroesophageal reflux." Zollinger-Ellison syndrome. In order to treat ulcers that are caused by Helicobacter pylori, the triple therapy is utilized. Treatment of ulcers caused by nonsteroidal anti-inflammatory drugs (NSAIDs).
It is more effective to use PPIs than to use H2 antagonists.

Adverse Effects 
In most cases, very secure. On sometimes, symptoms such as nausea, diarrhoea, abdominal pain, and headaches may be experienced.
Hypergastrinemia, which can be caused by prolonged use, has been linked to an increased risk of developing stomach carcinoid tumors.
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