Miracid Special Precautions

1) Patients should be advised to consult their clinician before using omeprazole if: They are taking warfarin, an antifungal agent (e.g. ketoconazole), diazepam or digoxin.
They have heartburn that has persisted for more than 3 months or heartburn in conjunction with lightheadedness, sweating or dizziness.
They are experiencing chest or shoulder pain with lightheadedness, shortness of breath, sweating or pain spreading to arm, neck or shoulders.
They have frequent chest pain, unexplained weight loss, nausea and vomiting, stomach pain or frequent wheezing (especially with heartburn).
2) Patients should discontinue taking omeprazole and consult their clinician if heartburn persists or worsens after 14 days of therapy or a course of treatment is needed more frequently than every 4 months.
3) Patients with difficulty or pain with swallowing, vomiting with blood or bloody or blackened stools should not use omeprazole; such manifestations should be reported promptly to a clinician.