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Omeprazole 10 mg/Sucralfate 1000 mg/15 mL Oral Liquid

The Omeprazole 10 mg/Sucralfate 1000 mg/15 mL Oral Liquid is a specially compounded medication designed for ease of administration and precise dosing. This oral liquid formulation combines the proton pump inhibitor omeprazole with the gastroprotective agent sucralfate, offering a dual-action approach to managing gastrointestinal conditions. It is particularly beneficial for patients who have difficulty swallowing pills, including children and the elderly.

Omeprazole works by reducing gastric acid production, thereby aiding in the treatment of conditions such as gastroesophageal reflux disease (GERD), peptic ulcer disease, and Zollinger-Ellison syndrome. Sucralfate acts locally by forming a protective barrier on the ulcer surface, making it useful in the healing of active duodenal ulcers and for the prevention of recurrent ulcers. The combination of these two medications in a liquid form allows for a synergistic effect in the management of these disease states, while also improving patient compliance through simplified administration.

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Omeprazole
Sucralfate
Oral Liquid
65c3b4f49f5cd092cf8949ea
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Formula Information

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The Omeprazole 10 mg/Sucralfate 1000 mg/15 mL Oral Liquid is a custom-compounded medication designed to address specific gastrointestinal conditions by combining the actions of two distinct medications. Omeprazole, a proton pump inhibitor (PPI), works by reducing the production of stomach acid, thereby alleviating symptoms associated with gastroesophageal reflux disease (GERD), peptic ulcers, and other acid-related disorders. By decreasing stomach acid, omeprazole creates a less erosive environment, which can promote healing of the gastric lining and relief from discomfort.

Sucralfate, on the other hand, acts locally by adhering to ulcer sites, creating a protective barrier that shields the mucosal lining from the corrosive effects of stomach acid and pepsin. This action not only helps in the healing of active ulcers but also prevents further damage to the gastrointestinal tract. The combination of omeprazole and sucralfate in a single oral liquid formulation offers a synergistic approach to managing conditions that benefit from both acid suppression and mucosal protection.

This specially formulated liquid medication is particularly beneficial for patients who have difficulty swallowing pills, such as children and the elderly, or those with conditions that impair their ability to take solid forms of medication. The liquid form ensures that the active ingredients are delivered in a consistent and measurable dose, which is crucial for effective treatment and patient compliance. Additionally, the liquid formulation allows for flexible dosing, which can be adjusted according to the specific needs of the patient.

It is important for both patients and prescribers to understand that this compounded medication should be used under the guidance of a healthcare professional. The prescriber must consider the patient's overall health condition, potential drug interactions, and the appropriateness of the combined formulation for the individual's treatment plan. Patients should follow the prescribed dosing regimen and report any side effects or concerns to their healthcare provider promptly.

Bayview Pharmacy is committed to providing high-quality compounded medications tailored to the unique needs of each patient. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide support to both patients and prescribers considering the use of this Omeprazole/Sucralfate oral liquid formulation. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Omeprazole is a proton pump inhibitor (PPI) that works by reducing the amount of acid produced in the stomach, making it effective in treating conditions such as gastroesophageal reflux disease (GERD), peptic ulcers, and Zollinger-Ellison syndrome. Sucralfate, on the other hand, is a medication that acts locally in the gastrointestinal tract to form a protective barrier on the ulcer surface, thereby treating active duodenal ulcers and providing relief from peptic ulcer disease. When combined in an oral liquid formulation, these two medications can offer a comprehensive approach to managing gastric acidity and protecting ulcerated areas.

However, the combination of omeprazole and sucralfate in a single formulation can lead to drug interactions that may affect the efficacy of the treatment. Omeprazole can increase gastric pH, and a higher pH may reduce the effectiveness of sucralfate, as sucralfate requires an acidic environment to properly adhere to the ulcer site. Therefore, it is recommended to administer sucralfate at least 30 minutes before omeprazole to ensure optimal absorption and effectiveness.

Additionally, omeprazole, like other PPIs, can interfere with the absorption of drugs that require an acidic environment for proper absorption. This includes certain antifungal medications (such as ketoconazole and itraconazole), iron supplements, and some forms of calcium. Patients should be advised to take these medications at least 2 hours before or after omeprazole to minimize interactions.

Omeprazole may also increase the blood levels of certain drugs by affecting liver enzymes responsible for drug metabolism. This includes, but is not limited to, drugs such as warfarin, phenytoin, and diazepam. Monitoring for increased effects or toxicity of these drugs may be necessary when they are co-administered with omeprazole.

Conversely, drugs that induce or inhibit CYP2C19 and CYP3A4, the enzymes that metabolize omeprazole, can affect the levels of omeprazole. For example, St. John's Wort and rifampin may decrease omeprazole levels, potentially reducing its effectiveness, while inhibitors like clarithromycin and voriconazole may increase omeprazole levels, raising the risk of side effects.

It is also important to note that long-term use of PPIs, such as omeprazole, has been associated with an increased risk of bone fractures, vitamin B12 deficiency, and magnesium deficiency, especially in patients on prolonged therapy or with other risk factors. Patients should be monitored for these conditions and may require supplementation or alternative therapy if deficiencies are noted.

Patients and prescribers should be aware of these potential interactions and manage them appropriately to ensure the safe and effective use of this combination formulation. If there are any concerns or questions regarding this formulation or its interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance and guidance.

How Does it Work

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The Omeprazole 10 mg/Sucralfate 1000 mg/15 mL Oral Liquid is a specially compounded medication designed to treat conditions such as gastroesophageal reflux disease (GERD), peptic ulcers, and other gastrointestinal disorders that require a reduction in stomach acid and protection of the stomach lining. This liquid formulation combines two active ingredients, each with a distinct mechanism of action, to provide comprehensive treatment.

Omeprazole is a proton pump inhibitor (PPI) that works by irreversibly blocking the hydrogen-potassium ATPase enzyme system (the proton pump) of the gastric parietal cells. This action significantly decreases the production of stomach acid, thereby reducing gastric acidity. By doing so, omeprazole allows for healing of ulcers and inflammation, and provides symptom relief from heartburn and acid reflux. It is particularly effective in conditions where a reduction in acid secretion is required for prolonged periods.

Sucralfate, on the other hand, acts locally by adhering to the mucosal lining of the stomach, creating a protective barrier over ulcers or erosions. It reacts with hydrochloric acid in the stomach to form a viscous paste that binds selectively to the ulcer site. This barrier prevents further damage from acid, pepsin, and bile, and allows the ulcer to heal more effectively. Sucralfate does not significantly affect acid production or pH levels, making it a complementary agent to omeprazole in this formulation.

The combination of omeprazole and sucralfate in a liquid form is particularly beneficial for patients who have difficulty swallowing pills, such as children, the elderly, or those with esophageal strictures or dysphagia. The liquid formulation allows for flexible dosing and ease of administration, ensuring that patients receive the precise dose prescribed. Additionally, the liquid form may offer faster onset of action compared to solid dosage forms, as it does not require disintegration and dissolution.

It is important for patients and prescribers to understand that while this medication can provide relief from symptoms and promote healing, it should be used as part of a comprehensive treatment plan that may include lifestyle changes and other medications. The specific dosing regimen should be determined by a healthcare provider based on the patient's individual needs and medical history.

For any questions regarding the use of this compounded formulation, or to discuss individual patient needs, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support to ensure optimal therapeutic outcomes.

Other Uses

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The specialty compounded formulation of Omeprazole 10 mg/Sucralfate 1000 mg per 15 mL Oral Liquid serves primarily to manage conditions where the reduction of gastric acid and protection of the gastrointestinal lining are necessary. While most commonly prescribed for the treatment of gastroesophageal reflux disease (GERD), peptic ulcers, and conditions characterized by excessive stomach acid production such as Zollinger-Ellison syndrome, this formulation may offer additional therapeutic relevance in other clinical contexts.

For instance, it can be beneficial for patients experiencing dyspepsia or persistent indigestion not directly associated with ulcers, as the omeprazole component calms the stomach lining by inhibiting the proton pumps responsible for acid secretion. Concurrently, sucralfate promotes healing of irritated mucous membranes by creating a protective barrier on the ulcer surface, which can also advantage patients with gastritis or those recovering from gastric mucosal injury due to prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Patients undergoing radiation therapy or chemotherapy may develop mucositis, leading to painful ulcers throughout the gastrointestinal tract. The compounded liquid’s soothing properties may potentially provide symptomatic relief in such cases. Furthermore, it may be prescribed off-label for stress-related mucosal damage in critically ill patients where stress ulcer prophylaxis is required, although this use should be guided by clinical judgment and evidence specific to individual patient needs.

This palatable liquid formulation is especially suited for those who have difficulty swallowing tablets or capsules, such as pediatric, geriatric, or neurologically impaired patients. Additionally, it may be a preferred option for those with enteral feeding tubes, ensuring that the medication can be administered without the need for crushing or altering solid dosage forms.

Adjustments to standard dosages may be necessary depending on the patient's individual circumstances, including age, weight, renal function, and the complexity of the medical condition being treated. As with all medications, potential side effects, drug interactions, and consideration of patient-specific factors necessitate close monitoring by healthcare providers. Clinicians should consider the benefits of the combined effects of omeprazole and sucralfate against any potential risks for each patient.

If there are questions pertaining to this specific formulation, its potential uses, or when determining the suitability for individual patients, please do not hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is available to provide information, guidance, and support, ensuring that medication therapy is both safe and efficacious for each patient's needs.

Frequently Asked Questions

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What is Omeprazole/Sucralfate Oral Liquid and what are its uses?

Omeprazole/Sucralfate Oral Liquid is a compounded medication that combines omeprazole, a proton pump inhibitor, with sucralfate, a gastroprotective agent. This combination is used to treat conditions like gastroesophageal reflux disease (GERD), ulcers, and other gastrointestinal issues where a protective lining is needed alongside acid reduction.

How should I take this medication?

This medication should be taken exactly as prescribed by your healthcare provider. The liquid form should be shaken well before each use, and it's usually recommended to measure each dose carefully with the provided measuring device. The liquid should then be swallowed, and not mixed with food or other liquids unless directed by your healthcare provider.

When is the best time to take Omeprazole/Sucralfate Oral Liquid?

It's often recommended to take this medication on an empty stomach, usually at least one hour before a meal. However, specific instructions may vary based on your individual condition and your doctor's advice.

Can children and elderly patients use this medication?

Yes, this liquid formulation is especially suitable for pediatric and geriatric patients who may have difficulty swallowing tablets or capsules. However, the dose will differ depending on the age and condition of the patient, so it's important to follow the healthcare provider's directions.

Can I crush tablets instead of using the oral liquid?

Crushing tablets is not recommended as a substitute for the compounded oral liquid because the dosages and release mechanisms are different. The liquid formulation also provides a precise dosage and assures that the active ingredients are correctly combined.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

Are there any side effects associated with this medication?

As with any medication, there are potential side effects. Common ones may include nausea, vomiting, stomach pain, diarrhea, or constipation. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

Can this medication interact with other prescriptions or over-the-counter drugs?

Yes, Omeprazole/Sucralfate Oral Liquid can potentially interact with other drugs. It's important to inform your healthcare provider about all other medications and supplements you are taking to avoid any adverse drug interactions.

How should I store this medication?

Store this medication at room temperature away from direct light, heat, and moisture. Ensure the bottle is tightly closed and keep it out of reach of children and pets. Do not use the medication beyond its expiration date.

Is it safe to drive or operate heavy machinery after taking this medication?

Omeprazole/Sucralfate Oral Liquid normally does not affect your ability to drive or operate heavy machinery. However, if you experience dizziness or drowsiness as side effects, you should avoid these activities until you feel it's safe to perform them.

Can I consume alcohol while taking this medication?

It's generally advised to avoid alcohol when taking Omeprazole/Sucralfate Oral Liquid, as alcohol can irritate the stomach lining and may interfere with the healing process of your stomach or exacerbate certain side effects.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.