Is Prilosec OTC The Same As Prilosec?

Posted on Wed, 30 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 30 Nov 2016 Answered on

Thu, 29 Dec 2016 Last reviewed on

Question : I have been taking omeprazole 40 mg 1,100 bi-carb for a number of years because of having GERD and Barrett's esophagus. I am in the gap year of my insurance and the cost for a 30 day supply is over $600. I used a coupon outside of my insurance for several months and paid $150, but now the coupon is not being accepted. I spoke with my Gastroenterologist and he recommended Prilosec, however when I look online I see Zegerid has a 20 mg 1,100 bicarb pill that I can get over the counter. If I get this, should I take two a day to add up to 40 mg, however that would be 2,200 of the bicarb or should I purchase the Prilosec? What is the difference between Prilosec and Prilosec OTC?

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
Lifestyle modification is primary.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Prilosec and Prilosec OTC are the same and contain omeprazole. It may be taken once daily before breakfast. About the bicarb or any other antacid, I would rather insist you to take it off and on after meals when you feel dyspeptic, bloated, or heartburn. I do not think that you need it regularly.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast. Zegerid can also be taken.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Yoga and meditation should help.

Hope that helps.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (25 hours later)

Thank you so much!

Answered by Dr. Prof. Kunal Saha (8 hours later)

Brief Answer:
Glad to be of service

Detailed Answer:
Feel free to write back directly to me if you ever have a health related query in the future.

Wish you health.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar