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Data updated: Jul 17, 2026

PRILOSEC (omeprazole magnesium) · AZURITY

Gastrointestinal Approved 1989-09-14

Prilosec is a proton pump inhibitor (PPI) indicated for the short-term treatment of active duodenal ulcer and active benign gastric ulcer in adults. It is used to manage symptomatic gastroesophageal reflux disease (GERD) in patients 1 year of age and older, and to treat and maintain healing of erosive esophagitis (EE) in pediatric patients as young as 1 month and 1 year, respectively. Additionally, it is indicated in combination with antibiotics for the eradication of *H. pylori* to reduce the risk of duodenal ulcer recurrence, and for the long-term treatment of pathologic hypersecretory conditions (e.g., Zollinger-Ellison syndrome) in adults.

How PRILOSEC Works

Omeprazole belongs to the substituted benzimidazole class of antisecretory compounds. It suppresses gastric acid secretion by specifically inhibiting the $H^+/K^+$ ATPase enzyme system—often referred to as the "proton pump"—at the secretory surface of the gastric parietal cell. By inhibiting this enzyme, omeprazole blocks the final step of acid production. This effect is dose-related and inhibits both basal and stimulated acid secretion, regardless of the stimulus.

12
Indications
--
Phase 3 Trials
1
Priority Reviews
36
Years on Market

Details

Status
Prescription
First Approved
1989-09-14
Routes
ORAL
Dosage Forms
FOR SUSPENSION, DELAYED RELEASE, CAPSULE, DELAYED REL PELLETS

Companies

Active Ingredient: OMEPRAZOLE MAGNESIUM

PRILOSEC Approval History

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Original
New Indication
New Form
Label Update
314 FDA actions from 1989 to 2023 · 9 indication expansions
Jul 2023 SUPPL
Label · Labeling
Mar 2022 SUPPL
Label · Labeling
Nov 2020 SUPPL
Label · Labeling

What PRILOSEC Treats

6 indications

PRILOSEC is approved for 6 conditions since its original approval in 1989. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

PRILOSEC Competitive Set

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Clinical Trial Registry

4 trials
Trial Sponsor ID Phase Status Title
NCT02504554 BBT results posted STUDY00001053 Ph 1, Ph 2 completed Beneficial Bacteria Treatment for Autism
NCT04766996 results posted STUDY00002021 Ph 4 terminated PROUD Study - Preventing Opioid Use Disorders
NCT00674115 results posted 18133 CL2007-17, P07813 Ph 3 completed A Pharmacodynamic Study Comparing Zegerid® and Prilosec OTC® (CL2007-17 )(P07813)(COMPLETED)
NCT01337804 18136 P08050 Ph 1 completed A Study to Compare Omeprazole Administered as Zegerid® Powder and as Prilosec® Capsule in Healthy Participants (P08050)(CL2010-12)
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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

PRILOSEC FDA Label Details

Indications & Usage

FDA Label (PDF)

PRILOSEC is a proton pump inhibitor (PPI) indicated for the: • Treatment of active duodenal ulcer in adults • Eradication of Helicobacter pylori to reduce the risk of duodenal ulcer recurrence in adults • Treatment of active benign gastric ulcer in adults • Treatment of symptomatic gastroesophageal reflux disease (GERD) in patients 1 year of age and older • Treatment of erosive esophagitis (EE) due to acid-mediated GERD in patients 1 month of age and older • Maintenance of healing of EE due to acid-mediated GERD in patients 1 year of age and older • Pathologic hypersecretory conditions in adul...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.