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NHS Warns OTC Omeprazole Users to Limit Use to Two Weeks

The notice aims to steer persistent heartburn sufferers toward GP review rather than unsupervised, extended dosing.

Overview

  • The NHS website advises people who buy omeprazole without a prescription not to take it for longer than two weeks and to consult a GP if symptoms persist or worsen.
  • Long-term proton pump inhibitor use is linked to risks including Clostridioides difficile infection, low magnesium, weakened bones and vitamin B12 deficiency.
  • Practical advice includes taking doses at the same time each day, with or without food, and swallowing enteric‑coated or gastro‑resistant tablets and capsules whole.
  • Some forms of omeprazole are sold over the counter, but most require a prescription, and the NHS guidance page was recently reviewed in September 2025.
  • PPIs are widely used in England, with 73 million NHS prescriptions dispensed in 2022–23 and about 15% of the population using these medicines.