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It might be helpful to know to what you are comparing it.

In general the PPI's such as omeprazole (Prilosec), lansoparazole (Prevacid), pantoprazole (Protonix), and several brand name drugs are more effective for most people compared to H2 blockers such as ranitadine (Zantac) and famotadine (Pepcid).

Also, the PPI's and famotadine are taken once daily while ranitadine is usually taken twice daily for full effect (although once daily, usually at night, is effective for many people).

The H2's do work better for some and are sufficient for most and are usually cheaper. There are some concerns with the PPI's in the elderly and for people taking Plavix so if you have other conditions you should talk to your doctor.

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Omeprazole refers to the drug substance itself, but can also mean any drug containing omeprazole. Omeprazole 20 mg ec likely refers to a specific finished pharmaceutical product (i.e. a drug product, like a tablet or capsule), that contains 20 mg of omeprazole, and is enterically coated. The enteric coat (ec) is required to prevent the omeprazole from being degraded in the stomach by the gastric acid. This means that the part of the product containing the omeprazole will be undissolved until the product enters the gut, specifically the duodenum. Some omeprazole products are not enteriically coated, and instead contain an alkaline substance to neutraliz the gastric acid, and thus prevent degradation of omeprazole.


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