Question

The health care provider prescribes omeprazole (Prilosec) for C.S. and instructs him to return for a follow-up visit in two weeks if his symptoms do not improve. What is the mechanism of action of omeprazole and the rationale for returning only if symptoms persist

Answer 1

Omeprazole (Prilosec) is a proton pump inhibitor (PPI) that works by blocking the enzyme responsible for secreting acid in the stomach. By reducing the amount of acid in the stomach, omeprazole helps to alleviate symptoms of gastroesophageal reflux disease (GERD) and other conditions caused by excessive stomach acid, such as ulcers.

The rationale for asking C.S. to return for a follow-up visit only if his symptoms persist is because omeprazole may take some time to work and alleviate the symptoms of GERD. It is also important to ensure that the medication is not causing any adverse side effects. If the symptoms persist after two weeks of taking omeprazole, it may indicate that the medication is not working and that further evaluation or treatment is needed.