Omeprazole 40mg Capsules

Please read this leaflet carefully before you start taking this medicine. If you have any questions or are
unsure about anything relating to your treatment, ask your doctor or pharmacist.

What you need to know about Omeprazole Capsules

Each capsule contains 40mg of omeprazole as gastro-resistant granules.

The active substance is omeprazole. The other ingredients are: mannitol, crospovidone, hypromellose,
poloxamer, meglumine, povidone, methacrylic acid ethyl acrylate copolymer, triethyl citrate,
magnesium stearate, titanium dioxide E171, patent blue V E131, yellow iron oxide E172iii, and gelatin.

The 40mg capsules have a rich yellow opaque cap and standard purple opaque body. The capsule shells
are imprinted with black ink (shellac glaze, black iron oxide E172i, lecithin soya E322, antifoam (DC
1510)). Your hard capsules will come in a carton containing 7, 14 or 28 capsules. Omeprazole is a type of
drug called a ‘proton pump inhibitor’. It reduces the production of acid in your stomach.

What Omeprazole Capsules are used for

Omeprazole capsules have been prescribed by your doctor to treat:

An inflamed and painful windpipe (reflux oesophagitis and oesophageal reflux disease).

Ulcers in the upper part of the intestine (duodenal ulcer) or stomach (gastric ulcer). If you have
previously had trouble with an ulcer and need to continue taking a non-steroidal-anti-inflammatory drug
(NSAID), Omeprazole capsules heal an ulcer. For such patients, Omeprazole capsules protect your
stomach or duodenum whilst you are taking NSAIDs.

Ulcers infected with bacteria called Helicobacter pylori which live in the protective lining of the gut and
have been recognised as an important cause of many ulcers.

Acid related indigestion.

Excess acid in the stomach caused by a tumour in the pancreas (Zollinger-Ellison syndrome).
Omeprazole capsules can be used to prevent damage to the lungs caused by breathing in stomach fluids
(acid aspiration). For instance, it may be used before an operation.

Before taking your medicine

If you are allergic to any of the ingredients in Omeprazole capsules do not take this medicine.

If you have reduced liver function and are taking an antibiotic called clarithromycin, do not take this
medicine.

Make sure you have told your doctor or pharmacist about any other medicines that you are taking,
including those you have bought without a prescription.

If you answer yes to any of the following questions, talk to your doctor before taking this medicine

Are you pregnant, think you might be pregnant or considering becoming pregnant?

Are you breast feeding?

Are you taking any of the following medicines: diazepam (for your nerves), phenytoin (for epilepsy),
warfarin (for thinning of the blood), digoxin (for the heart), ketoconazole or itraconazole (for fungal
infections)?

Do you have any kidney or liver problems? If so, you should discuss this with your doctor, as he may
wish to reduce the dose.

Your medicine may make you feel sleepy, dizzy or faint. Do not drive or operate machinery if you
experience any of these symptoms.

Taking your medicine

You may take your capsules at any time of the day. Your doctor will tell you how many capsules to take,
and when to take them. The strength of capsule you take and the length of time you take them for will
depend on what condition you are suffering from.
You can take your capsules 1 hour before food or on an empty stomach. The capsules should not be
chewed or crushed, they should always be swallowed whole, with a drink of water.

If you have trouble swallowing the capsules, you may suck the actual capsule then swallow it whole.
Alternatively, the capsules may be opened and then the granules can be poured out and mixed with
some fruit juice or yoghurt which you should drink immediately.

The only indication for which children may take Omeprazole capsules is severe reflux oesophagitis.

Treatment for children with severe reflux oesophagitis.

Treatment must be initiated by a hospital paediatrician. The dose of Omeprazole given will be
dependent on their weight and treatment should be given for 4 -12 weeks. If children have trouble
swallowing the capsules, the capsules should be opened and the granules mixed with some fruit juice or
yoghurt and then drunk immediately.

Treatment for reflux oesophagitis and oesophageal reflux disease

Omeprazole capsules can be taken by adults and children with severe heartburn. The usual dose is 20mg
omeprazole once daily for 4 weeks, but your doctor will prescribe the exact dose and length of
treatment that is right for you. After this initial treatment, your doctor may tell you to continue taking
Omeprazole capsules at the same or at a higher dose, depending on how well you have responded to
the initial treatment.

To stop your symptoms returning, your doctor may tell you to continue taking Omeprazole capsules at a
dose of 10mg or 20mg once daily.

Treatment for stomach ulcers (gastric ulcer) and ulcers in the upper part of the intestine (duodenal
ulcer)
The usual dose is 20mg omeprazole daily. The usual length of treatment is 4 weeks for duodenal ulcers
and 8 weeks for gastric ulcers, but your doctor will prescribe the exact dose and length of treatment that
is right for you. If your symptoms have not improved during this time, your doctor may increase your
dose to 40mg omeprazole once daily until you are feeling better. To stop your ulcer coming back the
usual dose is 10mg omeprazole, once daily, unless your symptoms return. If your symptoms return, your
doctor may increase the dose to 20mg omeprazole, once daily.

Treatment for ulcers caused by infection with bacteria called Helicobacter pylori

The usual dose is 20mg omeprazole twice daily or 40mg omeprazole once daily for 1-2 weeks, but your
doctor will prescribe the exact dose and length of treatment that is right for you. Your doctor will also
tell you to take one or two antibiotics. Follow the directions for taking your medicines very carefully and
ask your doctor if you are unsure about anything.

Patients at risk of acid aspiration (breathing in stomach fluids) during a general anaesthetic

The usual dose is 40mg omeprazole on the evening prior to a general anaesthetic followed by 40mg
omeprazole 2-6 hours before surgery.

Treatment for excess acid in the stomach caused by a tumour in the pancreas (Zollinger-Ellison
syndrome)

The usual dose is 60mg omeprazole once daily, but your doctor will prescribe the exact dose and length
of treatment that is right for you. If your dose is above 80mg omeprazole, this should be taken as half
the dose in the morning and half at night. Your doctor will tell you exactly how many capsules you
should take and how to take them.

Treatment for patients with liver disease

Patients with liver disease as well as any of the indications outlined above should usually be treated with
no more than 20mg omeprazole per day. If you forget to take a dose, take it as soon as you remember
unless it is almost time for the next dose. Do not take a double dose to make up for forgotten individual
doses.

Overdose

If you take more than the recommended number of capsules, contact your doctor or pharmacist straight
away.

After taking your medicine

Like all medicines, Omeprazole Capsules may sometimes cause side effects, as well as the effects that
are needed. These are usually mild and go away when you stop taking this medicine. Common side
effects seen: diarrhoea, headache, constipation, feel sick or be sick, wind, stomach ache. Uncommon
side effects are: skin rash, itchy skin, dizziness, light headedness, feeling faint, pins and needles, feel
sleepy or have difficulty sleeping, general feeling of being unwell and liver problems. Rare side effects
are: sensitivity to light, severe allergic skin reactions with skin blistering, swollen lips, swelling or
soreness of the mouth; dry mouth, low blood sodium, hair loss, sore joints, aching muscles, muscle
weakness, blurred vision, swollen limbs, increased sweating, larger breasts in men, impotence, stomach
infection, blood or taste disorders, a high temperature, wheezing, feel confused or more sleepy (if you
already have severe liver disease), liver disease which may make your skin or eyes yellow and kidney
problems. If you are very ill, you may feel confused, nervous, aggressive, depressed or hallucinate.

It is not known whether these side-effects are caused directly by Omeprazole capsules.

If you suffer from any of these side effects, or if you notice any side effects not mentioned in this leaflet,
please inform your doctor or pharmacist.

Storing your medicine

Do not store above 30°C. Store in the original package. Keep container in the outer carton.

Keep out of the reach and sight of children.

Do not take your capsules after the expiry date shown on the carton. Remember to return any unused
capsules to your pharmacist.

Reminder:

Keep this leaflet. You may need to read it again.

If you have further questions, please ask your doctor or your pharmacist.

This medicine has been prescribed for you personally and you should not pass it to others. It may harm
them, even if their symptoms are the same as yours.

Marketing Authorisation Holder and Manufacturer:

Dr Reddy’s Laboratories (UK) Ltd, 6 Riverview Road, Beverley, HU17 0LD UK.

PL08553/0217

Revision date: 16.06.05

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to
your personal circumstances.

Medical Disclaimer

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only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson
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30 Sep 2019) and others.

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Copyright © 2000-2019 Drugs.com. All rights reserved.

Brand Names: Librax

Medically reviewed by Sanjai Sinha, MD Last updated on Mar 18, 2019.

OverviewSide EffectsDosageMore

What is Librax?

Librax is a capsule containing a combination of chlordiazepoxide and clidinium. Chlordiazepoxide is a

benzodiazepine that affects chemicals in the brain that may be unbalanced. Clidinium reduces stomach
acid and decreases intestinal spasms.

Librax is a medicine that may be effective in treating stomach ulcers, irritable bowel syndrome, or
symptoms related to intestinal infection. Librax is given together with other medications to treat these
conditions.

The U.S. Food and Drug Administration has determined that Librax is "possibly" effective in treating
these conditions.

Important information

You should not use Librax if you have glaucoma, and enlarged prostate, bladder obstruction, or
problems with urination.
Do not use Librax if you are allergic to chlordiazepoxide or clidinium, or to other benzodiazepines, such
as alprazolam (Xanax), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam
(Serax). Librax can cause birth defects in an unborn baby. Do not use this medicine if you are pregnant.

Before taking this medicine, tell your doctor if you have any breathing problems, porphyria, kidney or
liver disease, or a history of depression, suicidal thoughts, or addiction to drugs or alcohol.

Do not drink alcohol while taking Librax. This medication can increase the effects of alcohol. Librax can
cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that
requires you to be awake and alert. This medication may be habit-forming and should be used only by
the person it was prescribed for.

Side Effects

Dosage

Pricing

More

Before taking this medicine

You should not use Librax if you are allergic to chlordiazepoxide or clidinium, or if you have:

glaucoma;

an enlarged prostate;

bladder obstruction; or

problems with urination.

To make sure Librax is safe for you, tell your doctor if you have:

liver or kidney disease;

a history of depression or suicidal thoughts or behavior;

a history of drug or alcohol addiction; or

if you use a narcotic (opioid) medication.

Chlordiazepoxide can cause birth defects in an unborn baby. Tell your doctor if you are pregnant or if
you become pregnant while using this medicine. Use an effective form of birth control while you are
using this medication.

Chlordiazepoxide and clidinium may pass into breast milk and could harm a nursing baby. This medicine
may also slow breast milk production. Tell your doctor if you are breast-feeding a baby.

The sedative effects of this medicine may last longer in older adults. Accidental falls are common in
elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are
taking Librax.

Librax is not approved for use by anyone younger than 18 years old.

How should I take Librax?

Take Librax exactly as it was prescribed for you. Follow all directions on your prescription label. Your
doctor may occasionally change your dose to make sure you get the best results. Do not use this
medicine in larger or smaller amounts or for longer than recommended.
Librax is usually taken before meals and at bedtime. Follow your doctor's instructions.

Chlordiazepoxide may be habit-forming. Never share Librax with another person, especially someone
with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.
Selling or giving away this medicine is against the law.

Do not stop using this medicine suddenly after long-term use, or you could have unpleasant withdrawal
symptoms. Ask your doctor how to safely stop using Librax.

Call your doctor if your symptoms do not improve, or if they get worse.

Store at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Librax is a drug of abuse and you
should be aware if anyone is using your medicine improperly or without a prescription.

Librax dosing information

Usual Adult Dose for Peptic Ulcer:

Chlordiazepoxide 5 mg-clidinium 2.5 mg oral capsule: 1 or 2 capsules orally 3 or 4 times daily before
meals and at bedtime

Usual Adult Dose for Irritable Bowel Syndrome:

Chlordiazepoxide 5 mg-clidinium 2.5 mg oral capsule: 1 or 2 capsules orally 3 or 4 times daily before
meals and at bedtime

Usual Adult Dose for Enterocolitis:

Chlordiazepoxide 5 mg-clidinium 2.5 mg oral capsule: 1 or 2 capsules orally 3 or 4 times daily before
meals and at bedtime

Usual Geriatric Dose for Peptic Ulcer:

Chlordiazepoxide 5 mg-clidinium 2.5 mg oral capsule: 1 capsule orally twice daily

Dose may be increased gradually as needed and tolerated.

Usual Geriatric Dose for Irritable Bowel Syndrome:

Chlordiazepoxide 5 mg-clidinium 2.5 mg oral capsule: 1 capsule orally twice daily

Dose may be increased gradually as needed and tolerated.

Usual Geriatric Dose for Enterocolitis:

Chlordiazepoxide 5 mg-clidinium 2.5 mg oral capsule: 1 capsule orally twice daily

Dose may be increased gradually as needed and tolerated.

See also:

Librax dosage information (in more detail)

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next
scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include extreme drowsiness, dry mouth, blurred vision, confusion, or muscle
weakness.

What should I avoid while taking Librax?

Avoid drinking alcohol. Dangerous side effects could occur.

This medicine may impair your thinking or reactions. Be careful if you drive or do anything that requires
you to be alert.

Librax side effects

Get emergency medical help if you have signs of an allergic reaction to Librax: hives; difficult breathing;
swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

severe drowsiness;

a light-headed feeling, like you might pass out;

problems with balance or coordination;

confusion, excitement, anger, or feeling restless;

severe constipation;
painful or difficult urination;

restless muscle movements in your eyes, tongue, jaw, or neck;

fever, sore throat; or

jaundice (yellowing of the skin or eyes).

Side effects may be more likely in older adults.

Common Librax side effects may include:

dry mouth;

blurred vision;

constipation, nausea;

urination problems;

drowsiness;

rash;
swelling;

irregular menstrual periods; or

increased or decreased interest in sex.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about
side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also:

Librax side effects (in more detail)

What other drugs will affect Librax?

Taking Librax with other drugs that make you sleepy or slow your breathing can cause dangerous side
effects pr death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough
medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.

Tell your doctor about all your current medicines and any you start or stop using, especially:

a blood thinner--warfarin, Coumadin, Jantoven;

medicine to treat a psychiatric disorder; or

an MAO inhibitor--isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline,

tranylcypromine, and others.
This list is not complete. Other drugs may interact with chlordiazepoxide and clidinium, including
prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions
are listed in this medication guide.

See also:

Librax drug interactions (in more detail)

Further information

Your pharmacist has information about Librax.

Remember, keep this and all other medicines out of the reach of children, never share your medicines
with others, and use Librax only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to
your personal circumstances.

Copyright 1996-2019 Cerner Multum, Inc. Version: 3.02.

Medical Disclaimer

More about Librax (chlordiazepoxide / clidinium)

Side Effects

During Pregnancy

Dosage Information

Drug Images

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Support Group
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En Español

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Drug class: anticholinergics/antispasmodics

Consumer resources

Librax

Librax (Advanced Reading)

Professional resources

Librax (FDA)

Related treatment guides

Irritable Bowel Syndrome

Enterocolitis

Peptic Ulcer

DRUG STATUS

Rx

Availability

Prescription only

Pregnancy & Lactation

Risk data available

N/A

CSA Schedule*

Not a controlled drug

Approval History

Drug history at FDA

Manufacturer
Bausch Health Companies Inc.

Drug Class

Anticholinergics / antispasmodics

Related Drugs

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User Reviews & Ratings

Librax reviews

8.8 / 10

47 Reviews

Librax Images

Pill Imprint LIBRAX ROCHE LIBRAX ROCHE (Librax 5 mg / 2.5 mg)

Librax 5 mg / 2.5 mg (LIBRAX ROCHE LIBRAX ROCHE)

Librax 5 mg / 2.5 mg (LIBRAX ROCHE LIBRAX ROCHE)

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personal medication records. Available for Android and iOS devices.

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ABOUT

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TERMS & PRIVACY

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Attribution & Citations

Facebook Twitter YouTube RSS Feed

Subscribe to Drugs.com newsletters for the latest medication news, alerts, new drug approvals and
more.

Drugs.com provides accurate and independent information on more than 24,000 prescription drugs,
over-the-counter medicines and natural products. This material is provided for educational purposes
only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson
Micromedex (updated 1 Oct 2019), Cerner Multum™ (updated 1 Oct 2019), Wolters Kluwer™ (updated
30 Sep 2019) and others.

TRUSTe

Third Party AdvertisingAdChoices

HonCode

We comply with the HONcode standard for trustworthy health information - verify here

Copyright © 2000-2019 Drugs.com. All rights reserved.