Zegerid Dosage

Generic name: OMEPRAZOLE 20mg, SODIUM BICARBONATE 1680mg
Dosage forms: capsule, powder, for suspension
Drug class: Proton pump inhibitors

Medically reviewed by Drugs.com. Last updated on Jul 19, 2023.

Important Administration Instructions

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ZEGERID (omeprazole and sodium bicarbonate) is available as a capsule and as a powder for oral suspension in 20 mg and 40 mg strengths of omeprazole for adult use. All recommended doses throughout the labeling are based upon omeprazole.

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The sodium content of ZEGERID capsules and ZEGERID for oral suspension should be taken into consideration when prescribing this product [see Warnings and Precautions (5.3)]:

•: ZEGERID capsule: each 20 mg and 40 mg capsule contains 1,100 mg (13 mEq) of sodium bicarbonate. The total content of sodium in each capsule is 304 mg.
•: ZEGERID for oral suspension: each 20 mg and 40 mg packet of contains 1,680 mg (20 mEq) of sodium bicarbonate. The total content of sodium in each packet is 460 mg.

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Due to the sodium bicarbonate content of ZEGERID:

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Do not substitute two packets of 20 mg ZEGERID for oral suspension with one packet of 40 mg ZEGERID for oral suspension.

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Do not substitute two 20 mg ZEGERID capsules with one 40 mg ZEGERID capsule.

Dosage Regimen

The recommended dosage regimen by indication in adults of ZEGERID for oral suspension and ZEGERID capsules is summarized in Table 1. Only 40 mg ZEGERID for oral suspension is indicated for the reduction of risk of upper GI bleeding in critically ill adult patients and the dosage regimen is summarized in Table 2. All recommended dosages are based upon omeprazole content.

Table 1: Recommended Dosage Regimen of ZEGERID for Oral Suspension and ZEGERID Capsules in Adults by Indication
* Most patients heal within 4 weeks. Some patients may require an additional 4 weeks of therapy. † The efficacy of ZEGERID used for longer than 8 weeks in patients with EE has not been established. If a patient does not respond to 8 weeks of treatment, an additional 4 weeks of treatment may be given. If there is recurrence of EE or GERD symptoms (e.g., heartburn), additional 4 to 8-week courses of ZEGERID may be considered.
Indication	Dosage of ZEGERID for oral suspension or ZEGERID capsules	Treatment Duration
Treatment of Active Duodenal Ulcer	20 mg once daily	4 weeks*†
Treatment of Active Benign Gastric Ulcer	40 mg once daily	4 to 8 weeks
Treatment of Symptomatic GERD	20 mg once daily	Up to 4 weeks
Treatment of EE due to Acid-Mediated GERD	20 mg once daily	4 to 8 weeks†
Maintenance of Healing of EE due to Acid-Mediated GERD	20 mg once daily	Controlled studies do not extend beyond 12 months.

Table 2: Recommended Dosage Regimen of 40 mg ZEGERID for Oral Suspension in Adults by Indication
Indication	Dosage of 40 mg ZEGERID for oral suspension	Treatment Duration
Reduction of Risk of Upper GI Bleeding in Critically Ill Patients	40 mg initially; followed by 40 mg 6 to 8 hours later; and 40 mg once daily thereafter	14 days

Preparation and Administration

ZEGERID Capsules

•: Swallow capsules intact with water. Do not open the capsule and do not administer with liquids other than water.
•: Take on an empty stomach at least one hour before a meal [see Clinical Pharmacology (12.3)].

ZEGERID for Oral Suspension

•: ZEGERID for oral suspension is intended to be mixed with water and administered orally or via a nasogastric (NG) or orogastric (OG) tube.
•: If administered orally, take on an empty stomach at least one hour before a meal.
•: If administered via NG or OG tube, suspend enteral feeding approximately 3 hours before and 1 hour after administration of ZEGERID for oral suspension.

Oral Administration

•: Empty the contents of a packet into a small cup containing 5 to 10 mL of water. Do not mix with liquids or foods other than water.
•: Stir well and drink immediately.
•: Refill cup with water and drink immediately.

Nasogastric (NG) or Orogastric (OG) Tube Administration

•: Add 20 mL of water to a catheter tipped syringe and then add the contents of a packet. Use an appropriately-sized catheter tipped syringe. Do not mix with liquids or foods other than water.
•: Shake the syringe to dissolve the powder.
•: Administer through the NG or orogastric tube into the stomach right away.
•: Refill the syringe with an equal amount of water.
•: Shake and flush any remaining contents from the NG tube or orogastric tube into the stomach.