Heartburn treatment can be broken into two catagories :
acid neutralizers, which modify the acidity(Ph) of the stomach. They work by neutralizing excess stomach acids created during the digestive process.
The other category is acid blockers ( such as omeprazole ) which inhibit some of the generation of stomach (suppresion)
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Prilosec is a PPI (Proton Pump Inhibitor). It basically stops the stomach from making acid, which decreases heartburn. Prilosec is not considered an antacid. There are other OTC drug products used to provide immediate relief for heartburn. These include antacids and acid reducer drug products such as Pepcid, Zantac, Tagamet, and Axid. Prilosec OTC should not be confused with these products because it works differently and is not intended for immediate relief.
Zantac (Rinitidine)is an antacid but not the first. Older Maalox/Mylanta's(aluminum hydroxide) action is direct. These basic medications directly neutralize high acidity in the stomach by mixing a base with your stomach acids. Zantac is somewhat newer, in that it 'indirectly' affects the acid/base balance in the stomach by limiting the amout of gastric acid production in the first place by means of the blocking or occupying the H2-receptor on the inner lining of the stomach preventing the production of gastric acids. Older antacids like Maalox or Mylanta can cause too much Calcium buildup in the body(contributing to renal stones) and interfere with the absorption of certain metal minerals(copper), antibiotics(tetracyclines), and some heart drugs(not including digoxin). In addition, ironically when you take rolaids or maalox, absorption of Zantac is reduced as well. :)
Jomamma79
Not exactly. Omerprazole is a pump inhibitor. It reduces the amount that the acid pumps in the stomach make instead of what something like Tagamet or similar antacids do which is reduce the amount of acid that is already created in the stomach.
Related link below contains much more detail should you wish to read more on Omerprazole.