Surrey Heartlands

Joint Formulary & PAD

Omeprazole - Acid suppression (Adults)

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Status 1

Green
Formulations :
  • Capsules
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
Guidelines BNF SPC
Restrictions / Comments :
Important
Preferred
1st line for patients with no swallowing difficulties.
 

Status 2

Non Formulary
Formulations :
  • Tablets
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
Guidelines BNF SPC
NFD1
Restrictions / Comments :
Important
Omeprazole or lansoprazole capsules are 1st-line. Pantoprazole or rabeprazole tablets are 2nd-line for patients without swallowing difficulties (suitable for patients that cannot have animal-derived products).
 

Status 3

Non Formulary
Formulations :
  • Oral suspension
  • Oro-dispersible
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
Guidelines BNF SPC
NFD1
Restrictions / Comments :
Important
Omeprazole capsules can be opened for patients with swallowing difficulties. Lansoprazole oro-dispersible tablets are 1st-line for patients with enteral feeding tubes

Documentation

Evidence Review
PPIs in Adults - Established medicines review - September 2022.pdf
Information
PPIs in Adults - PPI traffic light reference table - September 2022.pdf

PAD Profile

ChemicalSubstance :
Omeprazole
Indication :
Acid suppression (Adults)
Group Name :
Keywords :
GORD, gastro-oesophageal reflux disease, indigestion, PPIs, Proton pump inhibitors, gastric ulcer, stomach ulcer, dyspepsia
Brand Names Include :
Losec
Important Information :
Latest Additions Date From :
Latest Additions Date To :
Guidelines :
Acid suppression (Adults)
Supporting Documents :
2
Traffic Light Entries :
3

Other Indications

Below are listed other indications that Omeprazole is used to treat.

Other Drugs

Below are listed other drugs that are used to treat Acid suppression (Adults).

Committee Recommendations (1)

07 Sep 22 - Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands Integrated Care System Area Prescribing Committee (APC) has agreed that omeprazole capsules are a first choice option for people with no swallowing difficulties.   
Most capsules can be opened, and granules dispersed in water (check individual SPC)

For people with no swallowing difficulties:

  • 1st Line: Lansoprazole capsules/Omeprazole capsules
  • 2nd line: Pantoprazole tablets (Suitable for patients that cannot have animal-derived products) 
  • 2nd line: Rabeprazole tablets (Suitable for patients that cannot have animal-derived products)
  • 3rd line: Esomeprazole capsules – not for new initiation

For patients who cannot swallow tablets/have swallowing difficulties:

  • 1st Line: lansoprazole orodispersible tablets
  • 2nd line: lansoprazole capsules/omeprazole capsules (opened, and granules dispersed in water/yoghurt/apple puree)
  • 3rd line: esomeprazole granule sachets

For patients with enteral feeding tubes:

  • 1st line: lansoprazole orodispersible tablets
  • 2nd line: lansoprazole capsules
  • 3rd line: esomeprazole granule sachets (do not use if tube is less than 6F)