How to Taper Off Omeprazole?

Ask your prescriber before tapering, especially if you have severe reflux, ulcers, Barrett’s esophagus, GI bleeding, or take NSAIDs/aspirin regularly

Reduce from daily use to every other day for 1 to 2 weeks

Then reduce to every third day for 1 to 2 weeks

Then stop if symptoms are tolerable

If needed, switch temporarily to a lower dose before reducing frequency

Use antacids as needed for breakthrough symptoms

Consider an H2 blocker such as famotidine during tapering if approved by your clinician

Avoid large meals, late-night eating, alcohol, caffeine, and trigger foods during tapering

Elevate the head of the bed if nighttime symptoms occur

Maintain a healthy weight if applicable

Stop and contact a clinician if you develop severe heartburn, vomiting, black stools, trouble swallowing, chest pain, or persistent symptoms

Do not taper on your own if omeprazole was prescribed for a bleeding ulcer or severe esophagitis unless your clinician directs it

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