Dr.pharmacist
Prilosec OTC

Prilosec OTC

omeprazole

OTC DrugPrilosec OTC
Reviewed by Younghun Cho

Pharmacist's Verdict

Prilosec OTC is an effective medicine for treating frequent heartburn that happens two or more days a week. It works by reducing the amount of acid your stomach makes, providing lasting relief.

Ingredient Analysis

Omeprazole Magnesium

Pros & Cons

Pros

  • Provides 24-hour relief from frequent heartburn with just one pill a day.
  • Highly effective for treating symptoms caused by excess stomach acid, like acid reflux and GERD (gastroesophageal reflux disease).
  • Works by stopping acid production at the source, rather than just neutralizing existing acid.
  • Widely available over-the-counter without a prescription.

Cons

  • Not for immediate heartburn relief; it can take 1-4 days for the full effect to kick in.
  • Should not be used for more than 14 days or more often than every 4 months without speaking to a doctor.
  • Can cause side effects like headache, diarrhea, nausea, stomach pain, and gas.
  • May interact with certain medications, including blood thinners (like clopidogrel), some anti-fungal drugs, and HIV medications. Always check with a pharmacist or doctor.
  • There's a rare but serious risk of severe skin reactions (like skin reddening, blisters, rash); stop use and seek medical help if these occur.

Safety Information

Warnings

Warnings Allergy alert: • Do not use if you are allergic to omeprazole. • Omeprazole may cause severe skin reactions. Symptoms may include: • skin reddening • blisters • rash If an allergic reaction occurs, stop use and seek medical help right away.

Is Prilosec OTC safe for you?

See pregnancy, interactions, and common concerns answered in our pharmacist safety FAQ.

Read safety review →

References

  1. 1.
    FDA Drug Label — Omeprazole

    FDA DailyMed: Omeprazole · FDA

  2. 2.
    FDA Drug Label — Prilosec OTC

    FDA DailyMed: Prilosec OTC · FDA

  3. 3.
    Comparative effectiveness and tolerability of esomeprazole and omeprazole in gastro-esophageal reflux disease: A systematic review and meta-analysis.

    Qi Q, Wang R, Liu L, et al., International journal of clinical pharmacology and therapeutics, 2015 · PubMed

  4. 4.
    Omeprazole: pharmacology, pharmacokinetics and interactions.

    Oosterhuis B, Jonkman JH, Digestion, 1989 · PubMed

  5. 5.
    Proton Pump Inhibitors and Bone Health: An Update Narrative Review.

    Lespessailles E, Toumi H, International journal of molecular sciences, 2022 · PubMed

  6. 6.
    An update on drug-drug interactions associated with proton pump inhibitors.

    Ben Ghezala I, Luu M, Bardou M, Expert opinion on drug metabolism & toxicology, 2022 · PubMed