Milosec 20mg Capsule

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Manufacturer Milrin
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Milosec 20mg Capsule is a prescription-only medicine (POM) that contains Omeprazole 20mg. It is supplied as a capsule and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Milosec 20mg Capsule is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Take Milosec 20mg Capsule before a meal, usually in the morning before breakfast, swallowing the capsule whole with water. Do not crush, chew, or open the capsule, as it contains delayed-release granules designed to protect the medicine from stomach acid until it is absorbed.

Dosage

The usual adult dose of Milosec 20mg Capsule is one capsule (20mg) once daily, though your doctor may prescribe a different dose or frequency depending on your condition, such as a higher dose or twice-daily dosing for more severe cases or H. pylori eradication. Always follow your doctor’s specific instructions and complete the full course as prescribed.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Headache
  • Nausea or vomiting
  • Stomach pain
  • Diarrhea or constipation
  • Bloating or gas
  • Dizziness
  • Fatigue

Contraindications

  • Known hypersensitivity to omeprazole, other proton pump inhibitors, or any ingredient in this product
  • Concurrent use with nelfinavir or certain other HIV medicines that require stomach acid for proper absorption
  • Caution in patients with severe liver impairment, where dose adjustment may be needed

Drug / Food Interactions

  • Clopidogrel’s antiplatelet effect may be reduced when combined with omeprazole, potentially lowering its protection against blood clots
  • Warfarin’s blood-thinning effect may be increased, requiring closer INR monitoring
  • Methotrexate levels may increase when combined with omeprazole, particularly at high methotrexate doses
  • Medicines that need an acidic stomach environment for absorption, such as ketoconazole, may be less well absorbed when taken with omeprazole

Quick Tips

  • Take before a meal, usually in the morning, for the best effect
  • Swallow the capsule whole – do not crush, chew, or open it
  • Complete the full course prescribed by your doctor, even if symptoms improve earlier
  • Tell your doctor if you are taking clopidogrel, warfarin, or methotrexate before starting this medicine
  • Report persistent diarrhoea, unusual muscle cramps, or an irregular heartbeat to your doctor, especially with long-term use
  • Do not use this medicine for longer than your doctor recommends without a review

Ingredients / Active Ingredients

  • Omeprazole 20mg

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Safe If Prescribed

Use during breastfeeding should only be done if prescribed and monitored by a doctor.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

ManufacturerMilrin
ClassificationPrescription medicine
Ingredients / Active IngredientsOmeprazole
Pack Size14s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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