Omeprazole Injectable: Dosing and Precautions
Omeprazole injectable guidance for peptic ulcer perforation when IV proton pump inhibition is needed.
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Source reviewed
source date listed on the source page
Guide category
Injectable drugs
Safety boundary
Prescription medicine information for clinician-guided use.
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Therapeutic action
Antiulcer drug (proton pump inhibitor).
Indications
Peptic ulcer perforation.
Forms and strengths, route of administration
- Powder for injection, 40 mg vial, to be dissolved in 100 ml of 0.9% sodium chloride or 5% glucose for IV infusion.
Dose
- Adult: 40 mg once daily to be administered over 20 to 30 minutes.
Duration
Change to oral treatment as soon as the patient can eat.
Contra-indications, adverse effects, precautions
- May cause headache, diarrhoea, skin rash, nausea, abdominal pain, and dizziness.
- Avoid combination with itraconazole and ketoconazole.
- Monitor combination with warfarin, digoxin, and phenytoin.
- Do not exceed 20 mg daily in patients with severe hepatic impairment.
- Pregnancy: no contra-indication.
- Breast-feeding: avoid, administer only if clearly needed.
- Only use 0.9% sodium chloride or 5% glucose for dilution.
- Injectable omeprazole is not included in the WHO list of essential medicines.
Source
MSF Essential drugs practical guidelines (January 2026)
This page combines source-derived medicine reference sections with Kenza editorial context, while leaving out the Storage and Remarks sections from the source batch.
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