While omeprazole is useful for GERD and PUD, its use is not without the increased risk of other complications, such as an increased risk for aspiration pneumonia in certain patients, clinically relevant drug-drug interactions, and complications related to vitamin B12 deficiency, such as macrocytic anemia, hyperhomocysteinemia, and/or neuropathies.1-7 The focus of this article is related to the mechanism by which omeprazole could cause a deficiency in vitamin B12
Z71.89 Other specified counseling This code can be used to document counseling sessions focused on increasing physical activity as part of a weight loss regimen
These drugs include: Anticoagulants including Coumadin (warfarin) and Plavix (clopidogrel) Oral corticosteroids including prednisone Other NSAIDs including aspirin, Aleve (naproxen), and Celebrex (celecoxib) Selective serotonin reuptake inhibitors including Prozac (fluoxetine) and Zoloft (sertraline) Serotonin-norepinephrine reuptake inhibitors including Effexor (venlafaxine) and Cymbalta (duloxetine) If you take alcohol and ibuprofen, and any of the above drugs, it can intensify all the substances effects
Cognitive function and memory may show marked improvement
However, high doses of vitamin B12, such as those used to treat a deficiency, might cause: Headache Nausea and vomiting Diarrhea Fatigue or weakness Its important to note that these side effects are generally mild and temporary
Liver Detoxification : Promotes healthy liver function to process fats more effectively
