PAD - Prescribing Advisory Database
PLEASE NOTE : This is a development system.

For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Omeprazole - Acid suppression (Adults)

Keywords :
GORD, gastro-oesophageal reflux disease, indigestion, PPIs, Proton pump inhibitors, gastric ulcer, stomach ulcer, dyspepsia
Brand Names Include :
Losec

Traffic Light Status

Status 1 of 3.

Status :
Green
Important Preferred
Formulations :
  • Capsules
Important Information :
1st line for patients with no swallowing difficulties.
Trust Alignment :
Primary Care
ASPH
RSCH
SASH
SABP
Links :
Comments :
No comments returned.
Documents :

Status 2 of 3.

Status :
Non Formulary
Important
Formulations :
  • Tablets
Important Information :
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).
Trust Alignment :
Primary Care
ASPH
RSCH
SASH
SABP
Links :
BNF NICE SPC
NFD1
Comments :
No comments returned.
Documents :

Status 3 of 3.

Status :
Non Formulary
Important
Formulations :
  • Oral suspension
  • Oro-dispersible
Important Information :
Omeprasole capsules can be opened for patients with swallowig difficulties. Lansoprazole oro-dispersible tablets are 1st-line for patients with enteral feeding tubes
Trust Alignment :
Primary Care
ASPH
RSCH
SASH
SABP
Links :
BNF NICE SPC
NFD1
Comments :
No comments returned.
Documents :

Guidelines

No guidelines returned.

Other Drugs

Other Indications

Additional Documents

Committee Recommendations

Date
Committee Name
Narrative
07 September 2022
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)

Associated BNF Codes

01. Gastro-Intestinal System
01.03.05. Proton pump inhibitors
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