This article discusses the efficacy of omeprazole for treating peptic ulcers and improving health outcomes. It explores the signs and symptoms of peptic ulcers and their impact on patient well-being. The study also highlights the importance of early diagnosis and proper treatment.
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Contents ABSTRACT....................................................................................................................................2 INTRODUCTION...........................................................................................................................2 MAIN BODY..................................................................................................................................3 Signs and symptoms of Peptic ulcers..........................................................................................3 Efficacy of drugs like omeprazole:..............................................................................................5 Efficacy of omeprazole versus ranitidine for symptomatic treatment of peptic ulcer.................8 Impact of peptic ulcers on health and wellbeing of patient.......................................................10 CONCLUSION..............................................................................................................................11 REFERENCES..............................................................................................................................13 1
ABSTRACT Peptic Ulcers are the frequently faced problem by people all around the world. Long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) increases the risk of serious gastro duodenal events. In order to minimise the risk related to peptic Ulcer, it has been analysed that acid-suppressive therapy can be provided so that health outcome of patient is been improved who are suffering from peptic Ulcer. Literature review of clinical trial has been conducted for the present research [1]. It was based on ranitidine 150 mg twice daily to heal gastro duodenal ulcers and also clinical trial was been done to know the effects of omeprazole 150 mg twice a day.It has also been evaluated that long term treatment was been provided to patients with omeprazole. Routine laboratory test of patient was being done. It has also been analyzed that ranitidine and omeprazole has shown an increasing healing effect during the time of clinical trials. It has been analyzed that these inflammatory drugs can be taken for treatment of peptic Ulcer as the rate related to healing by making use of these drugs has gradually increased. The healing rate was also been analyzed at the specific time. It has also been evaluated from the research that peptic ulcer can reduce down the health outcome of patient. In worsening condition, it is really necessary for an individual to consult health care professional so that their health outcome can be improved. INTRODUCTION Peptic Ulcers are basically the sores which are been grown up in the lining of stomach, lower oesophagus or small intestine. The main reason behind formation of these sores are that they are a result of inflammation which has been caused by bacteria H. pylori. This health related disease can be seen among most of the people and is a global problem. It can be considered as a common health disease. There are various different factors because of which this disease can be developed [2]. Mostly peptic ulcer is been faced by those people who are highly involved consuming alcohol or liquor on regular basis. Peptic Ulcer can impact the quality of life of patient and can also reduce down their well-being. It has also been evaluated that people with stomach cancer can also face problem of peptic Ulcer. In order to overcome this problem there are various inflammatory drugs which are been developed so that health outcome of an individual suffering from peptic ulcer can be improved. It has also been analysed that people who are been involved in making use of aspirin and ibuprofen frequently can also go through this disease. High usage of 2
this can increase risk of peptic ulcer. There are various signs and symptoms that are been related to this disease. It includes that patient can have a feeling of burning in lower abdominal part. In order to cure the problem of peptic ulcer Omeprazole is used to treat certain stomach and oesophagus problems. This can work effectively as it assist patient in reducing down the acid level in stomach.It will also protect the esophagus from further damage, so patient can take this type of inflammatory disease. Ranitidine can also be used for treating peptic Ulcers in stomach, the dosage of drug must be prescribed by health care professional [3]. MAIN BODY Signs and symptoms of Peptic ulcers In the view point ofSharma and et.al.,(2017)there are various signs and symptoms of peptic ulcers. It has been analysed that the patient who is at risk of suffering from this disease needs to have knowledge of early signs and symptoms related to it. This will assist patient in enhancing health outcome of patient and also the quality of life of patient will be improved. It has been analysed that there is an increase prevalence of peptic ulcer in the society. Drugs can be considered as sensitive for radical cure. This is being formed inside the stomach because of formation of bacteria known as pylori. Symptoms related to disease can be loss in weight and appetite. This is majorly been cause to those people who have been involved in consuming liquor and smoking cigars on regular basis. It can also be cause to those who are going through problem of stomach cancer reducing the health outcome of patient. It has also been analysed that small peptic ulcers may not produce any type of symptom at an early level [4]. After some time patient can face problem of boring in abdominal. Various inflammatory drugs can be taken so that health outcome of patient suffering from peptic ulcer can be improved. Patient can also face various signs and symptoms such as nausea, vomiting, unexplained weight loss, indigestion [5]. Peptic ulcer can also reduce down the health outcome of patient and also lay negative impact on quality of life of people. There are various test which can assist health care professional in diagnosing peptic ulcer. It has been analysed that care providers can be engaged in making patient go through upper endoscopy. This test is been recommended to those patients who are at higher risk of having peptic ulcer and already suffering from problem like stomach cancer. In upper endoscopy long tube is been inserted down the throat in order to analyse whether the patient is been suffering from peptic ulcer or not. So, it can be said that it varies as per the age but main common signs are: vomiting, appetite changes, feeing faint, problems in 3
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breathing. Breathing problems is one of the main sign but if it not treated in a timely manner then it can create several other problems and disease as well. People who are at higher risk of getting this disease is above the age of 45. The treatment of peptic ulcer is been related and based on underlying cause of disease. It has been analysed that various inflammatory drugs can also been given to patients in order to cure peptic ulcer. Health care professionals are been involved in providing patients with drugs like omeprazole and ranitidine. These drugs can be given in order to enhance the health outcome of patient [6]. There are also various other signs and symptoms of peptic ulcer. It has been analysed that because of this health outcome of an individual can be reduced down and also it because of this disease person can face burns in their stomach. They can also face problem like vomiting and blood can also pass through vomit. In this disease patient can also pass dark stool or blood can also be seen in stool reducing down the health outcome of patients. One of the most common sign and symptom of peptic ulcer is burning inside stomach. It has also been analysed that acid inside the stomach can make the pain worst. There are various types of drugs and medications that can be provided to patient in order to reduce down the signs and symptoms related to peptic ulcer. Health care professional is been involved in providing patients with various medications so that their health outcome can be improved.One of the main use of this medicine is it decreases acid in stomach of patients which stomach makes and due to increasing extent of this acid it creates problems like ulcers. It has also been analyzed that this medication is really effective in enhancing the health outcome. It has also been evaluated that there are various causes of peptic ulcer one of the common cause if bacterium [7]. Helicobacter pylori bacteria commonly live in the mucous layer that covers and protects tissues that line the stomach and small intestine. There are various risk factors because of which peptic ulcer can be caused. Most people who suffer from this problem are been involved in drinking and smoking. This can reduced down the well being and quality of life of individual who has been suffering from peptic ulcer. Eating spicy food can also be one the reason that peptic ulcer is been caused so it is suggested to people that they must not be engaged in consuming more spicy food. It has also been analyzed that there are various complications van also be faced by the patients who are suffering from peptic ulcer. It has been analyzed that they can go through problem such as internal bleeding, for this health care professional can be engaged in providing them with medication like omeprazole.Along with this medication, people require taking care of themselves by having nutritional food with less species and 4
light food. Because it is stated that food which contains heavy species can lead to heartburn and ulcers [8]. It has also been analyzed that patient can also have a hole inside their stomach because of this disease. It can also cause severe problem of abdominal cavity that can reduce down health of patient and also their quality of life and well-being can also be decreased because of this [9]. Peptic ulcer can also cause obstruction in food pipe, it can raise problem related to swallowing of food and studies has also shown that infected person is at higher risk of going through stomach cancer or gastric cancer. Various inflammatory drugs can be taken so that health outcome of patient suffering from peptic ulcer can be improved. Patient can also face various signs and symptoms.It has also been analysed that if the treatment is not been provided to patient at early stage the infection can also be converted into other severe problem such as gastric cancer.Thus, leading to death of patient, so health care professional needs to make sure that proper knowledge needs to be provided to patients related to disease so that they can analyse early signs and symptoms and there health outcome can also be improved.This will also assist in enhancing quality of life of patients [10]. Efficacy of drugs like omeprazole: In the study ofSykes and et.al., (2017)it has been analysed that 86% of patients suffering form peptic ulcer has been healed by taking or consuming omeprazole. It has been analysed that this study has been provided that the patients has been healed within 12 weeks by consuming this medication. The authors provide information on whether healing rates depended on Helicobacter pylori. Further study byMichaelis and et.al., (2019)has also provided that they have supported the safety aspects of this drug. It has been analysed that the author has provided details that these drugs are really safe to be taken and patients can go through the process of healing really fast. This drug is really helpful in improvising health outcome of patient. It has been analysed that this can increase well being of patient. Pathologist has also faced some errors while conducting the study. They have faced problem of developing development of foveolar and also they can face issue of losing gestural glands. It has also been analysed thatfor over-the- counter products and if patients are treating themselves at their own then they must require reading and following package instructions. The author has further provided the details that this drug have high amount of efficacy to heal the disease and also it has been evaluated from the research that this drug has also no relapse. 5
In the context of peptic ulcer which causes infection and can lead to severity needs to be treated in an effective and in a timely manner. If it is not treated with appropriate medications and in a timely manner then it can cause several other health problems and affect overall health of patients. So some medications have been identified which is being majorly prescribed to patients with peptic ulcer such as:omeprazole. Efficacy can be increased if it is being taken as per the guidelines and in a prescribed manner. There are 2 types of people affected with peptic ulcers who take medicines as per their own and other one who follow guidelines and take medicines after prescribing it with doctor. There are some ways of using this oral medicine such as: Uses:This medicine is mainly prescribed to patients with peptic ulcer in order to treat certain stomach problems. One of the main use of this medicine is it decreases acid in stomach of patients which stomach makes and due to increasing extent of this acid it creates problems like ulcers. As we all know that ulcers in stomach create several problems like heartburn, difficulties in swallowing as well as cough. And this medicine does not only help in decreasing ulcers by decreasing level of acids but also helps people in treating and healing damages which already havehappened in stomach due to ulcers and also prevent them against cancer of esophagus. In the context of medical language it can be said thatOmeprazole belongs to a class of drugs known as proton pump inhibitors [11].In addition, it can also be said that this drug is so effective in peptic ulcer as it helps people in healing ranitidine resistant peptic ulcers. If patients taking daily then they are more likely to improve their health and protect against pain that occurs because of ulcer. The recommended dose of this drug to patients with peptic ulcer is 20Mg initially. If patients do not find much relief then dose of this drug can be increased. People can use at their own and self treat their ulcers, heart burn by using this medicines if they have knowledge of making use of this drug, in appropriate quantity and all. It is stated that it takes around 1-4 days in treating ulcers and heart burn but it does not prevent patients against heart burn in a complete manner. Along with this medication, people require taking care of themselves by having nutritional food with less species and light food. Because it is stated that food which contains heavy species can lead to heartburn and ulcers. So as per theYanjing, (2019), it can be said that self management and self care is also important in treating this problem.For over-the-counter products and if patients are treating themselves at their own then they must require reading and following 6
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package instructions. It is also stated that different brand uses different ingredients so, it is important checking the whole details given on packaging before using otherwise people may have side effects. In addition, it is stated that if patient take this medicine after prescription that time also they require reading leaflet available from pharmacistand if they are taking the over-the-counter product to self- treat then they must require reading whole instructions and ingredients used in it.Patients are prescribed and suggested to take this medicinebymouth as directed, once daily before the meal. Dosage and length of treatment is mainly based on the nature and the extent of the disease or medical condition. If patients are taking it as their own or after prescription then they need to avoid increasing or decreasing dosage than directed. Not crushing, chewing or delaying in taking this medicine is other main factor needs to be considered as it can increases risk and side effects. The right way of taking this medicine is placing on the tongue and let it dissolve and it is also suggested that if people use the disintegrating delayed release tablets, use dry hands to handle the tablets then they need to use dry hands in order to handle tablets. As per the nature of disease and as directed people can take antacids along with this medicine if required. For better and effective outcomes people require taking this on the same time each day and also regularly. But it is also stated that if people are taking at their own or self treating then they should not take this more than14 days unless directed by doctor [12]. If they find any difficulties and worse situations after taking this then people require visiting immediately y to doctor. There are some sides effects related to this medicine and people must have knowledge of all these side effects if they are taking this medicine without prescription, at their own or if they are self treating because the wrong direction and the wrong way may lead to several problems and some of discussed side effects. Some side effects associated with this medicine are: Back and stomach pain: It is stated that if patients do not take this medicine in the right manner then it may lead to stomach ache. In some cases after prescription and taking medicine in an appropriate manner also, patients may feel this problem and that time they require consulting with doctor for treating themselves against this pain and ulcers as well. Allergies:It is other main common side effects which is associated to thisomeprazole. People may feel some blisters on their body and rashes as well and at that time also they require 7
consulting with doctor. In such cases doctors changes medicine and dosage after analysing the whole case and problems [13]. Muscle ache, rashes, painful urination, discomfort, illness are some other side effects if people do not take precautions seriously and o not follow all instructions in an effective manner. For better usage and preventing against side effects like diarrhoea and others discussed above patients require taking this in an effective manner by reading all instructions and ingredients because there are some people who are allergenic to some ingredients used in medicine. So, by reading all guidelines and information and also after prescribing by doctors , taking precautions they can prevent themselves. They can also treat this heart burn and peptic ulcer problem within 14 days if taken as directed [14].So, overall from the above discussed usage and side effects it can be said that this medicine plays an important role in treating people with peptic ulcers in within 14 days if taken properly. And after prescribing from doctors, people can improve their overall health by consulting other causes of this problem and taking extra care of it. It has also been analysed that there are various side effects which can also be faced by patient because of taking this medicine. It has been evaluated from the research that patient by taking this medication can also face other problem such as allergies or even they can have nausea and headache. This can reduce down health outcome of patient and also their well-being can be affected by it [15]. It has also been analysed that because of this medication other severe consequences that can be faced by patient is that they can also have high blood pressure. So it is been suggested that they need to be involved in taking medication dosage in form which has been described health care professional. This will also assist them in not going through any type of allergic reaction and it can enhance health outcome of patient. It has also been analysed that omeprazole can alter the gut flora and immune responses. This medication is really effective for treating patients with peptic ulcer [16]. Efficacy of omeprazole versus ranitidine for symptomatic treatment of peptic ulcer. In the opinion ofHiguera-de-la-Tijera, (2018)drugs like ranitidine is also effecting in treating peptic ulcer but these drugs are not much effective in comparison to omeprazole. It has also been analysed widely used in patients with gastro-oesophageal reflux disease (GERD). This medication is been continued when the symptoms are been seen. In order to compare the efficacy 20 mg omeprazole was been given to patient and on the other hand 150 mg Ranitidine is been given to patient. It has been analysed that these courses are been provided to patient for a period 8
of at least 6 weeks. In this ranitidine therapy is also been provided to patient. It has been analysed from the study that after week 8 patient who were taking omeprazole was not seen with most common symptom that is stomach burn while the patient who was taking ranitidine was consuming the medication and no further changes has been seen in them. So by this trail it can be said that omeprazole is really effective for treating peptic ulcer. It has been analysed that in the context of peptic ulcer which causes infection and can lead to severity needs to be treated in an effective and in a timely manner. If it is not treated with appropriate medications and in a timely manner then it can cause several other health problems and affect overall health of patients [23]. So the treatment needs to be provided at time and also patient needs to have knowledge related to the early signs and symptoms of disease so that the infection does not increase. This will not assist them in going through the other chronic infectious disease such as stomach cancer. It has also been analysed that both these drugs are safe to be taken. In some of the markets the ranitidine is not even been sold. Various test such as endoscopy can also be done by health care professional to know about the intensity of disease. During this test hallow tube is been passed through neck and mouth to know whether patient is been suffering from peptic ulcer or not. It has also been evaluative from the research that these medications which is been given by health care professional can also have various side effects. It has been evaluated thatOmeprazole is the medication that has been considered in order to cure peptic ulcer. This medication has been used in order to cure the problem related to flow of acids backward from the stomach which causes heartburns. It is more effective than ranitidine. It has also been evaluated that treatment of peptic ulcer depends on the cause of disease. At the initial stage health care professional can also provide patients with medications and various NSAID to treat the disease [22]. If H pylori medication is been find out in digestive tract of patient then medication like omeprazole can be provided to patients for process of healing. This is been provided in order to kill bacterium. It can also enhance health outcome and quality of life of patients who are been suffering from peptic ulcer. Anti-biotic this has been provided by health care professionals can be provided for at least a period of six weeks so that procedure of healing can be followed by patients. It has also been analyzed that these medications or drugs that have been provided can also have various side effects. Patient can also face allergic reactions and they can face other problem like nausea and vomiting. It has also been analyzed thatPeople may feel some blisters on their body and rashes as well and at that time also they require consulting with 9
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doctor. It has been evaluated that omeprazole can block acid production and it can provide healing. Proton pump inhibitors — also called PPIs can be used to lower down the acid which has been find out inside stomach. It has also been analysed that patients are been asked to take these medications when it is been prescribed by health care professionals. It has also been analysed that long term PPI that has been given at high dosage can also increase the risk of hip, wrist and spine fracture [21]. It has been analysed thatas per the nature of disease and as directed people can take antacids along with this medicine if required. It has been evaluated that for better and effective outcomes people require taking this on the same time each day and also regularly.It has been analyzed that there are various type of prevention which can be taken by patient while been engaged in taking omeprazole and ranitidine.It is been suggested that patient do not engaged in taking them with alcohol or other these type of substances as it can lower down the health outcome of patient and further they can also face severe consequences because of this. It has been analyses that caution needs to be taken by patients when they have been involved in consuming pain relievers. It is really necessary in order to reduce down the risk related to stomach problems. It will also assist in enhancing quality of patients who are been going through problem of peptic ulcer. It will enhance their health outcome. Impact of peptic ulcers on health and wellbeing of patient As stated byTien and et.al., (2017)peptic ulcer can have huge impact on health and well- being of patient. It has been analysed that health care professional is been involved in providing patients with various medications so that their health outcome can be improved.One of the main use of this medicine is it decreases acid in stomach of patients which stomach makes and due to increasing extent of this acid it creates problems like ulcers. It has also been evaluated that there are various signs and symptoms of disease that can be faced by patients when they go through this disease. In order to treat the peptic ulcer it is really necessary that an individual needs to be involved in doing the life style changes [20]. It has been analyzed that peptic ulcer can be caused because of smoking and consuming alcohol, so patient needs to make sure that they have not been involved in consuming all this so that their health outcome can be improved. This will assist in enhancing quality of life of patients and also their well being can be improved because of this. Health care professional needs to be consult when there are severe signs of peptic ulcer. In order to treat peptic ulcer various medication is also been provided so that health outcome of 10
patient can be enhanced. Patient who are been suffering from peptic ulcer and have problem related to weight changes and they can also lose appetite because of this disease. It has also been analyzed that patient can also be involved in doing life style changes such as not eating more spicy food. They can also be involved in doing regular exercise so that no further problem related to this disease can be seen by them.It has also been summarized that these medications can also have several side effects like they have cause effects such a headache, vomiting, nausea [17]. In the early stage peptic ulcer can also be cured by providing patients with medications. Evidence has also provided thatOmeprazole is the medication that has been considered in order to cure peptic ulcer. This medication has been used in order to cure the problem related to flow of acids backward from the stomach which causes heartburns. This can assist health care professional in improving the well being and quality of life of patients who have been suffering from peptic ulcer. It has also been analyzed that in comparison to omeprazole, ranitidine is less effective [18]. This medication is more effective in reducing down the burns that has been faced by patient in stomach. It has also been analyzed that these medications can have side effects so if any sever sign is been seen by patient, they needs to be engaged in consulting health care professional so that health outcome of patient can be improved.It has also been evaluated that treatment of peptic ulcer depends on the cause of disease. Various type of NSAID can be provided to patient so that the effect of peptic ulcer. It has also been evaluated that both of these drugs can only be taken if it is been prescribed by health care professional. It has also been evaluated that patient needs to have knowledge related to early signs and symptoms of disease so that infection can be controlled and further they are not risk of developing any type of problem. This will assist in enhancing health outcome of patient and also there well being can be improved by this. Patient can also face allergic reactions and they can face other problem like nausea and vomiting. It has also been analyzed that this reaction can reduce health outcome [19]. CONCLUSION From the above study it has been summarised that peptic ulcer can reduce down health outcome of patients. Peptic ulcer can also reduce down the health outcome of patient and also lay negative impact on quality of life of people. There are various test which can assist health care professional in diagnosing peptic ulcer. It has been analysed that care providers can be engaged in making patient go through upper endoscopy. In order to treat this disease various type of 11
medication has been provided by health care professional in order to enhance health outcome of patient. This has assisted the care providers in enhancing well being and quality of life of those patients who have been suffering from peptic ulcer. It has also been analysed and evaluated from the report that most of the time peptic ulcer has been faced by those patients who have been highly involved consuming alcohol or liquor on regular basis. Peptic It has also been summarised from the report that Ulcer has affected the quality of life of patient and can also reduce down their well-being. It has also been analysed that there are various signs and symptoms that needs to be analysed by patient so that they can stop ulcer to grow.Omeprazole is the medication that has been considered in order to cure peptic ulcer. This medication has been used in order to cure the problem related to flow of acids backward from the stomach which causes heartburns. The medication has been taken patients when prescribed by health care professionals. Evidence has also provided that these capsules are really effective in reducing down the level of acid inside the stomach, so they have been provide by health care professionals to treat patients who have been suffering from peptic ulcers. It has also been summarized that these medications can also have several side effects like they have cause effects such a headache, vomiting, nausea. Before consuming these medications patients has been engaged in telling health care professionals about whether they have been allergic to certain type certain type of content that has been included in themedicinesuchasdexlansoprazole(Dexilant).Thishasassistedthecareproviderin enhancing well being of patients who have been suffering from this chronic disease. It has also been analyzed from the report that some of the side effects of this medication can also be serious like patient can face severe diarrhea with watery stools stomach pain, or fever that does not go away. In this condition health care professional must be consulted so that health outcome of patient can be improved. It has also been analyzed from the report that Routine laboratory test of patient was being done. It has also been analyzed that ranitidine and omeprazole has shown an increasing healing effect during the time of clinical trials. Other type of medication can also be given in order to treat ulcer. It is really necessary that patients have knowledge related to early signs and symptoms of disease. From the above report it has been discovered that peptic Ulcer can directly impact overall health of an individual. There are two most important medical treatments that can help in treating peptic Ulcer.Omeprazole versus ranitidine are two most important medical treatment that are given to patients for treatment of peptic Ulcer. Out of both of these treatments it has been 12
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identified that omeprazole is more effective treatment because it requires a smaller number of doses and can cure peptic Ulcer within 4 weeks whereas ranitidine might require just double number of doses for treatment of peptic Ulcer and might take longer time period for treatment. Not only this, it might also show side effects if number of doses taken are in excess. 13
REFERENCES Books and Journals 1.Chung, K.T. and Shelat, V.G., 2017. Perforated peptic ulcer-an update. World journal of gastrointestinalsurgery,9(1),p.1. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5237817/) 2.Devagudi, P., Shareef, M. and Tadvi, N.A., 2017. Comparative study of safety and efficacy of omeprazole, lansoprazole, and rabeprazole in triple therapy for eradication of Helicobacter pyloriinpepticulcerpatientsinIndianpopulation.NationalJournalofPhysiology, PharmacyandPharmacology,7(3),pp.250-254.(http://www.njppp.com/fulltext/28- 1472961386.pdf) 3.Dongli, H.E. and Diao, Y., 2016. Effect of Omeprazole Combined with Huoxue Huayu Tongluo Formula on the Efficacy and Relevant Indexes of Diabetic Gastroparesis Gastric MotilityDisorder.ChinaPharmacy,27(12),pp.1605-1607. (http://wprim.whocc.org.cn/admin/article/articleDetail? WPRIMID=501253&articleId=501253) 4.Dongo, A.E. and et.al., 2017. A Five-year review of perforated peptic ulcer disease in Irrua, Nigeria.Internationalscholarlyresearchnotices,2017. (https://www.hindawi.com/journals/isrn/2017/8375398/) 5.Forgerini, M., Mieli, S. and Mastroianni, P.D.C., 2018. Safety assessment of omeprazole use: a review.Sao Paulo Medical Journal,136(6), pp.557-570. (https://www.scielo.br/scielo.php? pid=S1516-31802018000600557&script=sci_arttext) 6.Higuera-de-la-Tijera, F., 2018. Efficacy of omeprazole/sodium bicarbonate treatment in gastroesophageal reflux disease: a systematic review. Medwave, 18(2), pp.e7179-e7179. (https://pubmed.ncbi.nlm.nih.gov/29547594/) 7.Lanas, A. and Chan, F.K., 2017. Peptic ulcer disease. The Lancet, 390(10094), pp.613-624. (https://pubmed.ncbi.nlm.nih.gov/28242110/) 8.Michaelis, M. and et.al., 2019. Omeprazole increases the efficacy of acyclovir against herpes simplexvirustype1and2.Frontiersinmicrobiology,10,p.2790. (https://www.frontiersin.org/articles/10.3389/fmicb.2019.02790/full) 9.Okon, J.E. and Egesie, G.U., 2017. Gastrin, Histamine Prostaglandin: Indicators for assessing efficacy of cimetidine,Omeprazole and Ranitidinein Gastric Ulcer Treatment.Janaki MedicalCollegeJournalofMedicalScience,5(2),pp.5-12. (https://www.researchgate.net/publication/322536730_Gastrin_Histamine_Prostaglandin_Ind icators_for_assessing_efficacy_of_cimetidine_Omeprazole_and_Ranitidine_in_Gastric_Ulce r_Treatment) 10.Sharma, T. and et.al.,2017. Efficacy of aspirin (325 mg)+ omeprazole (40 mg) in treating coronaryarterydisease.ExpertOpiniononPharmacotherapy,18(1),pp.123-131. (https://www.tandfonline.com/doi/abs/10.1080/14656566.2016.1269747? src=recsys&journalCode=ieop20) 11.Shim, Y.K. and Kim, N., 2017.The effect of H2 receptor antagonist in acid inhibition and its clinicalefficacy.TheKoreanJournalofGastroenterology,70(1),pp.4-12. (https://pubmed.ncbi.nlm.nih.gov/28728310/) 14