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Prevacid

Prevacid (lansoprazole) is a proton pump inhibitor (PPI). Doctors may recommend it for short-term treatment of ulcers and acid reflux. Studies have linked long-term Prevacid use with several serious side effects. Prevacid users have filed lawsuits over complications from the drug.

Prevacid (lansoprazole) belongs to a class of drugs called proton pump inhibitors (PPIs). These are powerful heartburn drugs.

Other PPIs include Nexium, Prilosec and Protonix.

The U.S. Food and Drug Administration approved Prevacid in 1995. Prevacid is available in prescription and over-the-counter (OTC) versions.

Recent studies link Prevacid to several serious health risks, especially when taken long-term. Some of the risks associated with Prevacid can result in serious injury or death. These include kidney damage and cancer.

Patients have filed Prevacid lawsuits after suffering severe side effects.

People should speak with their doctors before starting or stopping Prevacid.

What Is Prevacid Used For?

Prevacid treats certain problems related to excess stomach acid. It is generally intended for short-term use — anywhere from 10 days to 12 weeks. But patients sometimes use it for longer periods of time.

Illustration of a stomach ulcer
Ulcers are open sores in the lining of the stomach.
FDA Approved Prevacid Uses
  • Treating and maintaining duodenal ulcers
  • Certain gastric ulcer treatments
  • Treating symptoms of gastroesophageal reflux disease (GERD)
  • Treatment and maintenance of erosive esophagitis (EE)
  • Treating Zollenger-Ellison syndrome and other hypersecretory conditions
  • H. pylori treatment

Prevacid is not meant for quick relief of heartburn. It takes up to four days to relieve symptoms.

Lansoprazole is the active ingredient in Prevacid. It is not effective at treating symptomatic GERD in infants.

How Prevacid Works

Prevacid decreases the amount of acid in the stomach. It blocks an enzyme in the stomach wall responsible for producing the acid. This prevents proton pumps in the stomach from releasing acid.

Decreased stomach acid gives the stomach and esophagus time to heal. It also prevents further damage and complications. This can prevent ulcers from developing or recurring.

Prevacid vs. Zantac

Prevacid is a PPI, like Nexium and Prilosec. PPIs differ from H2 blockers like Zantac and Pepcid.

Both types of medication prevent the stomach from producing too much acid. But they do it in different ways.

Prevacid affects tiny proton pumps that generate acid through a chemical process. Zantac prevents acid-producing cells from responding to histamines in the stomach.

Zantac is advertised to work in as little as 30 minutes. Prevacid can take days and multiple doses to take effect.

Learn more about possible alternatives to PPIs like Prevacid

Serious Prevacid Side Effects, Risks and Warnings

Studies have linked Prevacid and other PPIs to several serious side effects. PPI side effects are most common with long-term use lasting a year or more.

The FDA has issued several Prevacid warnings since 2010.

Prevacid Warnings Include:
  • Osteoporosis and fractures of the hip, wrist and spine
  • Low magnesium levels
  • Clostridium difficile-associated diarrhea (severe diarrhea that can contain blood or pus)
  • Kidney disease and kidney failure due to acute interstitial nephritis (AIN)
  • Vitamin B12 deficiency
  • Lupus erythematosus (autoimmune disease)

Short-term Prevacid use does not usually cause side effects. When side effects do occur, they are typically mild.

Side effects people should ask their doctors about include abnormal heartbeat, muscle pain, leg cramps, weakness and nervousness. Other side effects may be more common.

Common Prevacid Side Effects

Prevacid Lawsuits

People who suffered kidney problems have filed Prevacid lawsuits. As of September 2018, there were 2,331 pending lawsuits over several different PPIs.

A federal panel combined the lawsuits in a multidistrict litigation. MDLs allow several similar lawsuits to move more quickly through the legal process. The cases are in New Jersey federal court.

Injuries Claimed in Prevacid Lawsuits
  • Acute interstitial nephritis (AIN)
  • Kidney disease
  • Kidney failure
  • Kidney injury
Suffering kidney complications after taking Prevacid? Get a Free Case Review

How to Take Prevacid

People take Prevacid orally. It is available in delayed-release capsules and delayed-release orally disintegrating tablets.

Patients can swallow the delayed-release capsules whole. People place the disintegrating tablets on the tongue and allow them to dissolve with or without water.

Patients should take either version before a meal. People should not crush either form of the medicine.

Forms Prevacid Comes In

Prevacid comes in several forms. Over-the-counter and generic prescription versions are available. There are also store brand equivalents. All forms contain the same active ingredient, lansoprazole.

Available Prevacid Versions and Equivalents
Prevacid
Prescription brand-name for lansoprazole; available in capsule form
Prevacid SoluTab
Prescription version of Prevacid designed to dissolve; available for suspension in liquids and as a tablet that dissolves in the mouth
Prevacid 24HR
Over-the-counter (OTC) version of Prevacid
Generic lansoprazole
Generic prescription versions
Store brands
Includes Heartburn Relief 24 Hour and Heartburn Treatment 24 Hour; comparable to Prevacid 24HR

Prevacid Dosages

Prescription Prevacid versions come in both 15 mg and 30 mg pills. Prevacid 24 HR comes in 15 mg pills.

Dosages can vary based on the condition Prevacid treats. Doctors may also consider the age and weight of the patient. Doctors may adjust the dosage depending on the patient’s other health conditions.

The recommended daily dosage of Prevacid in people with liver disease is 15 mg.

Recommended Prevacid Doses for Adults
Condition Being Treated Recommended Dose Taken How Often & How Long
Duodenal ulcers 15 mg Once daily for 8 weeks for short-term treatment Once daily for maintenance of healed ulcer
Eradication of H. pylori bacteria – Triple therapy 30 mg (Prevacid) 1 gram (Amoxicillin) 500 mg (Clarithromycin) Twice daily for 10 to 14 days
Benign gastric ulcer 30 mg Once daily for up to 8 weeks for short-term treatment
NSAID-associated gastric ulcer 30 mg or 15 mg Once daily for 8 weeks for healing Once daily for up to 12 weeks for risk reduction
GERD (gastroesophageal reflux disease) 15 mg or 30 mg Once a day for up to 8 weeks for short-term treatment of symptomatic GERD Once a day for up to 8 weeks for short-term treatment of erosive esophagitis (EE)
Maintenance of healing of erosive esophagitis (EE) 15 mg Once a day (controlled studies did not go beyond 12 weeks of treatment)
Zollinger-Ellison Syndrome 60 mg Once daily (doses and length of time of treatment can vary per patient)
Recommended Prevacid Doses for Children
Condition Being Treated Recommended Dose Taken How Often & How Long
Short-term treatment of symptomatic GERD and erosive esophagitis (EE) (ages 1 to 11) 15 mg for kids weighing under 30 kg 30 mg for those weighing more than 30 kg

15 mg for kids weighing under 30 kg 30 mg for those weighing more than 30 kg
Once a day for up to 12 weeks
Short-term treatment of symptomatic GERD (ages 12 to 17) 15 mg (non-erosive GERD)

30 mg (erosive esophagitis)
Once daily for up to 8 weeks

Several recent studies have associated side effects with PPI use in infants. A 2017 study found Prevacid given before a child’s first birthday increased bone fracture risks. And a 2018 study found PPIs taken in infancy can lead to childhood allergies.

Prevacid Overdose and Missed Dose Information

It may be possible to overdose on Prevacid. But a case study found a person who took 20 times the adult dose suffered no adverse reactions.

Tests on rats and mice found no relative overdose risk at 1,300 times the adult dose. Overdose symptoms may include passing out or trouble breathing.

“If over-exposure occurs, call your poison control center at 1-800-222-1222 for current information on the management of poisoning or over-exposure. ”

If a person misses a Prevacid dose, he or she should take a dose as soon as possible. If the person is nearing the time for the next dose, he or she may wait until the next scheduled time.

Prescription vs. Prevacid 24HR (OTC)

Prevacid is available by prescription or over-the-counter (OTC). Prevacid 24HR is the non-prescription version.

Studies have found that Prevacid 24HR often works as well as prescription Prevacid. Prevacid 24HR is only available in a 15 mg dose.

People can take one Prevacid 24HR 15 mg pill daily for 14 days. Prevacid 24HR users should not take the drug for more than 14 days. They should wait at least four months before taking Prevacid 24HR again.

Who Should Not Take Prevacid?

People who are allergic to lansoprazole should not take Prevacid. People allergic to any other PPI or other Prevacid ingredient should avoid it.

Ingredients vary with each Prevacid version. Check label ingredients for allergies before taking Prevacid.

Prevacid SoluTabs
Patients with PKE should talk with their doctor before taking Prevacid SoluTabs.
People Should Talk with Their Doctor Before Taking Prevacid If They Have:
  • Low blood magnesium
  • Liver disease
  • Lupus
  • Allergies to any PPI or PPI ingredient
  • Phenylketonuria (PKE)

Women who are pregnant or breastfeeding should consult their doctor before taking Prevacid or any other medication.

Prevacid Drug Interactions

Prevacid interactions can happen with 290 other drugs or dietary supplements. People should tell their doctor what drugs they take before starting Prevacid.

Some Prevacid interactions can happen with things as common as aspirin or fish oil.

Prevacid Drug Interactions
Drug Side Effect
HIV Antiretrovirals (including rilpivirine, atazanavir, delavirdine and nelfinavir) Decreases or increases drug effects
Warfarin Increases risk of bleeding or death
Methotrexate Can lead to methotrexate toxicity
Digoxin Increased exposure
Theophylline Increases clearance of theophylline
Drugs dependent on gastric pH for absorption (iron salts) Reduces absorption
Antibiotics (clarithromycin and amoxicillin) Possible serious adverse reactions, including potentially fatal arrhythmias
Tacrolimus Increases drug’s effects
CYP2C19 or CYP3A4 inducers (St. John’s Wort, rifampin and Ritonavir-containing products) Decreases Prevacid effects
CYP2C19 or CYP3A4 inhibitors (voriconazole) Increases Prevacid effects
Sucralfate Decreases and delays Prevacid absorption
Clopidogrel (Plavix) Decreases effectiveness of Plavix, can increase heart attack risk
Aminophylline May increase aminophylline levels by slowing metabolism, may result in aminophylline toxicity in extremely high doses (interaction is unlikely and effects are minor)

Please seek the advice of a medical professional before making health care decisions.

Terry Turner
Written By Terry Turner Writer

Terry Turner has been writing articles and producing news broadcasts for more than 25 years. He covers FDA policy, proton pump inhibitors, and medical devices such as hernia mesh, IVC filters, and hip and knee implants. An Emmy-winning journalist, he has reported on health and medical policy issues before Congress, the FDA and other federal agencies. Some of his qualifications include:

  • American Medical Writers Association (AMWA) and The Alliance of Professional Health Advocates member
  • Centers for Disease Control and Prevention Health Literacy certificates
  • Original works published or cited in Washington Examiner, MedPage Today and The New York Times
  • Appeared as an expert panelist on hernia mesh lawsuits on the BBC
Medically Reviewed By
Venkatachala Mohan, MD
Dr. Venkatachala Mohan Internal Medicine, Gastroenterology

17 Cited Research Articles

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  8. U.S. Food and Drug Administration. (2011, March 2). FDA Drug Safety Communication: Low magnesium levels can be associated with long-term use of Proton Pump Inhibitors drugs (PPIs). Retrieved from https://www.fda.gov/drugs/drugsafety/ucm245011.htm
  9. Takeda Pharmaceuticals North America, Inc. (n.d.). Frequently Asked Questions. Prevacid24hr.com. Retrieved from https://www.prevacid24hr.com/about/faqs/
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  17. U.S. Judicial Panel on Multidistrict Litigation. (2018, September 17). MDL Statistics Report - Distribution of Pending MDL Dockets by District. Retrieved from http://www.jpml.uscourts.gov/sites/jpml/files/Pending_MDL_Dockets_By_District-September-17-2018.pdf
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