Family, Internal Medicine, General Medical Questions/Endoscopy Results/Omeprazole.

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Question
My husband (66 years old service connected veteran), had a endoscopy & colonoscopy at the VA Medical Center where he is treated on 8/5/2013. The colonoscopy was fine, and repeat testing in 10 years. The endoscopy results, the nurse practitioner told my husband that he had dried up blood in his stomach that was caused by his naproxen 500MG twice a day prescription. He has been taken off it permanently. He also has a current prescription for omeprazole 20MG 1 capsule to take for stomach acid(gerd) everyday. The nurse practitioner increased his prescription to (4) capsules a day (2 capsules twice a day for 2 months)to help heal the dried up blood in his stomach. My question is, is this too much omeprazole to be taken in one day (80MG)?  Also could 80MG of omeprazole cause him other medical problems? Please advise. Thank you in advance for all your help.


Sincerely,


Marie

Answer
Dear Marie,

Many medications are dosed differently based on the condition of the patient. 80 mg of omeprazole is not exceedingly high for the treatment your husband requires. There is some research to suggest that taking proton pump inhibitors, like omeprazole, on a regular basis for no specific treatment can cause complications down the road due to an increase and alkalinity of the stomach secretions. Based on the assessment of your husband condition, he will be reassessed by his gastroenterologist. At that time, his medication may be reduced in dosage, or discontinued all together. I hope this helps.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

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I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Organizations
Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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