Generic Name: omeprazole-sodium bicarbonate

Brand Names: Zegerid

What is this medicine?

OMEPRAZOLE; SODIUM BICARBONATE (oh ME pray zol; SOE dee um bye KAR bon ate) prevents the production of acid in the stomach. It is used to treat gastroesophageal reflux disease (GERD), ulcers, and inflammation of the esophagus.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• Bartter's syndrome
• kidney disease
• low blood levels of calcium or potassium
• low salt diet
• metabolic alkalosis
• an unusual reaction to omeprazole, sodium bicarbonate, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medicine by mouth. Follow the directions on the prescription label. Place the contents of the packet into a small glass containing 1 to 2 tablespoons of water before use. Mix well and drink all the liquid right away. After you drink it, add a little more water to the glass, stir, and drink immediately. Do not mix this medicine with any other liquid or food. Take this medicine on an empty stomach, at least 1 hour before a meal. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• atazanavir
• nelfinavir

This medicine may also interact with the following medications:

• antibiotics like ampicillin, clarithromycin, tetracycline
• antifungals like itraconazole, ketoconazole, and voriconazole
• antivirals like delavirdine, efavirenz, indinavir
• cyclosporine
• dasatinib
• iron supplements
• medicines for anxiety, panic, and sleep like diazepam
• medicines for seizures like carbamazepine, phenobarbital, phenytoin
• medicines that treat or prevent blood clots like warfarin
• other medicines for stomach acid
• tacrolimus
• tolmetin
• vitamin B12

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor for regular check ups. Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• breathing problems
• chest pain
• dark urine
• fast, irregular heartbeat
• feeling faint or lightheaded, falls
• fever
• high blood pressure
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• sore throat
• stomach pain
• swelling of the ankles, legs
• trouble passing urine or change in the amount of urine
• unusual bleeding or bruising
• unusually weak or tired
• yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• diarrhea or constipation
• dizziness
• dry mouth
• headache
• nausea, vomiting
• stomach gas, upset

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from moisture. Throw away any unused medicine after the expiration date.

NOTE:This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.