Register
Medicines reference
Active substance

Omeprazole

Proton pump inhibitor. Registered in Georgia: 19 human medicines. Forms: capsule, powder.

Dose and use

Doses

Each dose comes with its source. Check the label of the product you use.

Active substance Omeprazole
Before use

Safety information

Known Contraindications

  • Critical
    Do not use in cases of hypersensitivity to the active substance, or to any of the excipients.
    Sources: VMD SPC · VMD
  • Warning
    Omeprazole is metabolised by the hepatic microsomal cytochrome system. Therefore, severe hepatic dysfunction may be associated with increases in the systemic exposure.
    Sources: VMD SPC · VMD
  • Warning
    Laboratory studies in rats and rabbits have not produced any evidence of teratogenic effects. The safety of the veterinary medicinal product has not been established in dogs during pregnancy, lactation or in breeding animals. The use of the product is not recommended in such animals.
    Sources: VMD SPC · VMD
  • Warning
    The use of the product is not recommended in such animals.
    Sources: VMD SPC · VMD
Latin name
Omeprazole
Georgian name
ომეპრაზოლი
Authorisation status
Authorised veterinary medicine
An authorised veterinary medicine containing this substance exists. Whether a particular use is on-label depends on the species and the indication - see each dose rule.
Registered in Georgia
19 of 19 forms
Human medicines in Georgia
Omeref, Omezee, Sopral, Zemo
Human medicines with this substance in the Georgian register of medicines (Ministry of Health), checked on 18 Oct 2026. They are human medicines, not veterinary products; strengths and forms differ.
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
All forms and registration19

Registration in Georgia and abroad: the register, number, validity and source are behind (i).

Akraz 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Akraz

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-041370 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Akraz

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-041370 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 20 Jun 2029
Human (Ministry of Health, RAMA)
In the register: აკრაზი 20 მგ, ნაწლავში ხსნადი კაფსულა
№ რ-041370
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeecid-40 40 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.4/10
Situational / acceptable
vetman assessment

Omeecid-40

40 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.4/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-039385 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant in a poorly flexible 40 mg human presentation. It may fit a narrow large-dog range, but most dogs need the authorised 10 mg veterinary capsule, another lower strength or an accurately compounded formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality4.0/10

This whole-only 40 mg delayed-release capsule fits only a narrow large-dog weight range and cannot be crushed or divided accurately. Twice-daily pre-feed administration is manageable when the dose matches, but most dogs need a lower-strength veterinary or validated compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.3/10
Weak evidence support
vetman assessment

Omeecid-40

40 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.3/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-039385 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 40 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.0/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 40 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole40 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 22 Dec 2027
Human (Ministry of Health, RAMA)
In the register: ომეეციდი-40 40 მგ, გასტრორეზისტენტული კაფსულა
№ რ-039385
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole-Alchemy 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Omeprazole-Alchemy

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-040735 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Omeprazole-Alchemy

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-040735 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 12 Apr 2029
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი-ალჩემი 20 მგ, ნაწლავში ხსნადი კაფსულა
№ რ-040735
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole Aravis 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Omeprazole Aravis

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-044446 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Omeprazole Aravis

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-044446 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 09 Dec 2030
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი არავისი 20 მგ, გასტრორეზისტენტული კაფსულა
№ რ-044446
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole Drug International 40 mg, Powder

powder for solution for injection, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
5.6/10
Weak evidence support
vetman assessment

Omeprazole Drug International

40 mg, powder for solution for injection, human medicine
Assessed clinical scopeDog · Off-label temporary intravenous omeprazole for a hospitalised dog with clinically justified acid suppression when oral treatment is not feasible · Intravenous
Care settingHospital-only temporary therapy with exact-product reconstitution, compatibility, slow administration and an early switch to a suitable oral veterinary presentation when enteral dosing becomes possible
vetman score 5.6/10 Weak evidence support
Evidence confidence: Low Georgia: Yes, human · № რ-038861 · Verified on 16 Oct 2026 Off-label use

A weak temporary IV option: the ingredient role is credible, but direct canine IV outcome evidence and the exact product preparation instruction are unavailable. Do not use a comparator reconstitution scheme without confirming this vial's own instruction.

Regulatory and scientific credibility5.5/10

The exact human IV product has a sourced current Georgian registration and identifiable strength and manufacturer, but no accessible exact-product preparation dossier was found; route handling must not be copied from a comparator without verification. It has no veterinary authorisation.

Clinical efficacy5.0/10

Omeprazole has strong oral veterinary acid-suppression evidence and consensus support for selected ulcerative or reflux disease, but direct canine evidence for this IV formulation and route is absent. Human IV use supports temporary substitution when oral therapy is impossible; veterinary outcome benefit is inferred, not demonstrated.

Safety and tolerability6.5/10

The ingredient is generally well tolerated short term, but these exact human IV products lack canine target-animal safety data. Preparation errors, incompatibility, rapid administration, hepatic dysfunction, hypersensitivity and CYP/pH-dependent interactions require hospital control; unnecessary prolonged suppression adds rebound and microbiome risks.

Clinical practicality5.5/10

A 40 mg vial can theoretically support weight-based hospital dosing, but an accessible exact-product reconstitution concentration, solvent, compatibility and in-use stability instruction was not found. Do not improvise from a comparator label; practicality remains limited until the exact instruction is verified.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This is an IV-only 40 mg vial, but its exact reconstitution and compatibility instruction is not accessible in the assessed sources. Do not copy the solvent, concentration, rate or stability from another omeprazole vial; verify the product insert before use.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole40 mg
Formulation Type
Powder
Administration route
Intravenous
Manufacturer
Registration
Georgia Yes, human
In force until 17 Aug 2028
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი დრაგ ინთერნეიშენალი 40 მგ, საინექციო ფხვნილი
№ რ-038861
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole Gefa 20 mg, Capsule

capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Omeprazole Gefa

20 mg, capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-043785 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Omeprazole Gefa

20 mg, capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-043785 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 07 Aug 2030
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი გეფა 20 მგ, კაფსულა
№ რ-043785
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole GMP 20 mg, Capsule

capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.5/10
Situational / acceptable
vetman assessment

Omeprazole GMP

20 mg, capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.5/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-043385 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility5.5/10

The exact human capsule has a sourced current Georgian registration and identifiable strength and manufacturer, but the EU/EEA, UK and US status remains explicitly unchecked rather than negative. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.2/10
Weak evidence support
vetman assessment

Omeprazole GMP

20 mg, capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.2/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-043385 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility5.5/10

The exact human capsule has a sourced current Georgian registration and identifiable strength and manufacturer, but the EU/EEA, UK and US status remains explicitly unchecked rather than negative. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 10 Jun 2030
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი ჯი-ემ-პი 20 მგ, კაფსულა
№ რ-043385
Verified on: 16 Oct 2026
EU Not confirmed
UK Not confirmed
Verified on: 16 Oct 2026
US Not confirmed
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole Gobens 20 mg, Capsule

hard capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.9/10
Situational / acceptable
vetman assessment

Omeprazole Gobens

20 mg, hard capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.9/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-034178, რ-034177 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility7.0/10

The exact human capsule has sourced current registrations in Georgia, EU/EEA and the UK, with an identifiable manufacturer, strength and intact delayed-release form. It is not a veterinary-authorised presentation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.6/10
Weak evidence support
vetman assessment

Omeprazole Gobens

20 mg, hard capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.6/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-034178, რ-034177 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility7.0/10

The exact human capsule has sourced current registrations in Georgia, EU/EEA and the UK, with an identifiable manufacturer, strength and intact delayed-release form. It is not a veterinary-authorised presentation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Normon · Spain
Registration
Georgia Yes, human
In force until 11 Jan 2027
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი გობენსი 20 მგ, მყარი კაფსულა
№ რ-034178, რ-034177
Verified on: 16 Oct 2026
EU Yes, human
UK Yes, human
№ PL177801117
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole Goodman 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Omeprazole Goodman

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-040157 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Omeprazole Goodman

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-040157 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Registration
Georgia Yes, human
In force until 06 Feb 2029
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი გუდმენი 20 მგ, გასტრორეზისტენტული კაფსულა
№ რ-040157
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole Goodman 40 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.4/10
Situational / acceptable
vetman assessment

Omeprazole Goodman

40 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.4/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-040158 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant in a poorly flexible 40 mg human presentation. It may fit a narrow large-dog range, but most dogs need the authorised 10 mg veterinary capsule, another lower strength or an accurately compounded formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality4.0/10

This whole-only 40 mg delayed-release capsule fits only a narrow large-dog weight range and cannot be crushed or divided accurately. Twice-daily pre-feed administration is manageable when the dose matches, but most dogs need a lower-strength veterinary or validated compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.3/10
Weak evidence support
vetman assessment

Omeprazole Goodman

40 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.3/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-040158 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 40 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.0/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 40 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole40 mg
Formulation Type
Capsule
Administration route
By mouth
Registration
Georgia Yes, human
In force until 06 Feb 2029
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი გუდმენი 40 მგ, გასტრორეზისტენტული კაფსულა
№ რ-040158
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole GP 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.8/10
Situational / acceptable
vetman assessment

Omeprazole GP

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-037538 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.5/10

The exact human capsule has sourced current registrations in Georgia and EU/EEA, with an identifiable manufacturer, strength and intact delayed-release form. It is not a veterinary-authorised presentation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.5/10
Weak evidence support
vetman assessment

Omeprazole GP

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.5/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037538 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.5/10

The exact human capsule has sourced current registrations in Georgia and EU/EEA, with an identifiable manufacturer, strength and intact delayed-release form. It is not a veterinary-authorised presentation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 14 Mar 2028
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი GP 20 მგ, გასტრორეზისტენტული კაფსულა
№ რ-037538
Verified on: 16 Oct 2026
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole Neo 20 mg, Capsule

capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.8/10
Situational / acceptable
vetman assessment

Omeprazole Neo

20 mg, capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-035925 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.5/10

The exact human capsule has sourced current registrations in Georgia and EU/EEA, with an identifiable manufacturer, strength and intact delayed-release form. It is not a veterinary-authorised presentation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.5/10
Weak evidence support
vetman assessment

Omeprazole Neo

20 mg, capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.5/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-035925 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.5/10

The exact human capsule has sourced current registrations in Georgia and EU/EEA, with an identifiable manufacturer, strength and intact delayed-release form. It is not a veterinary-authorised presentation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 21 Jul 2027
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი ნეო 20 მგ, კაფსულა
№ რ-035925
Verified on: 16 Oct 2026
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeprazole Slavia 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.8/10
Situational / acceptable
vetman assessment

Omeprazole Slavia

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.8/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-044657 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.5/10

The exact human capsule has sourced current registrations in Georgia and EU/EEA, with an identifiable manufacturer, strength and intact delayed-release form. It is not a veterinary-authorised presentation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.5/10
Weak evidence support
vetman assessment

Omeprazole Slavia

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.5/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-044657 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.5/10

The exact human capsule has sourced current registrations in Georgia and EU/EEA, with an identifiable manufacturer, strength and intact delayed-release form. It is not a veterinary-authorised presentation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Slavia Pharm · Romania
Registration
Georgia Yes, human
In force until 26 Jan 2031
Human (Ministry of Health, RAMA)
In the register: ომეპრაზოლი სლავია 20 მგ, გასტრორეზისტენტული კაფსულა
№ რ-044657
Verified on: 16 Oct 2026
EU Yes, human
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeref 40 mg, Powder

powder and solvent for solution for injection, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog
6.3/10
Situational / acceptable
vetman assessment

Omeref

40 mg, powder and solvent for solution for injection, human medicine
Assessed clinical scopeDog · Off-label temporary intravenous omeprazole for a hospitalised dog with clinically justified acid suppression when oral treatment is not feasible · Intravenous
Care settingHospital-only temporary therapy with exact-product reconstitution, compatibility, slow administration and an early switch to a suitable oral veterinary presentation when enteral dosing becomes possible
vetman score 6.3/10 Situational / acceptable
Evidence confidence: Low Georgia: Yes, human · № რ-044291 · Verified on 16 Oct 2026 Off-label use

A situational temporary IV option for a dog that cannot receive enteral treatment. The exact 4 mg/mL preparation is measurable, but canine IV efficacy is inferred from oral veterinary and human IV evidence; switch to a suitable oral veterinary presentation as soon as feasible.

Regulatory and scientific credibility6.5/10

The exact human IV product has a sourced current Georgian registration, identifiable composition and manufacturer, and accessible exact-product preparation information corroborated by another official register. It has no veterinary authorisation and canine use is off-label.

Clinical efficacy5.0/10

Omeprazole has strong oral veterinary acid-suppression evidence and consensus support for selected ulcerative or reflux disease, but direct canine evidence for this IV formulation and route is absent. Human IV use supports temporary substitution when oral therapy is impossible; veterinary outcome benefit is inferred, not demonstrated.

Safety and tolerability6.5/10

The ingredient is generally well tolerated short term, but these exact human IV products lack canine target-animal safety data. Preparation errors, incompatibility, rapid administration, hepatic dysfunction, hypersensitivity and CYP/pH-dependent interactions require hospital control; unnecessary prolonged suppression adds rebound and microbiome risks.

Clinical practicality7.5/10

The exact vial includes 10 mL solvent, yielding 4 mg/mL; this permits measurable canine dosing and is given slowly in hospital. It still requires aseptic reconstitution, exact-label compatibility, short in-use stability and disposal of substantial unused drug in small patients.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • OMEREF is an IV-only 40 mg vial with its own 10 mL solvent (4 mg/mL). Use only that exact preparation instruction, give slowly, inspect the solution, respect four-hour room-temperature stability and do not mix with unverified medicines or solvents.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole40 mg
Formulation Type
Powder
Administration route
Intravenous
Manufacturer
Vem · Türkiye
Registration
Georgia Yes, human
In force until 11 Nov 2030
Human (Ministry of Health, RAMA)
In the register: ომერეფი 40 მგ, ფხვნილი და გამხსნელი საინექციო ხსნარისთვის
№ რ-044291
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omez 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Omez

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-042924 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Omez

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-042924 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 04 Jan 2027
Human (Ministry of Health, RAMA)
In the register: ომეზი 20 მგ, გასტრორეზისტენტული კაფსულა
№ რ-042924
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omeze-20 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Omeze-20

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-036849 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Omeze-20

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-036849 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 15 Nov 2027
Human (Ministry of Health, RAMA)
In the register: ომეზე-20 20 მგ, გასტრორეზისტენტული კაფსულა
№ რ-036849
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Omezii 20 mg, Capsule

capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Omezii

20 mg, capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-041284 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Omezii

20 mg, capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-041284 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 13 Jun 2029
Human (Ministry of Health, RAMA)
In the register: ომეზიი 20 მგ, კაფსულა
№ რ-041284
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Triopaz 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Triopaz

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-040267 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Triopaz

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-040267 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Manufacturer
Registration
Georgia Yes, human
In force until 16 Feb 2029
Human (Ministry of Health, RAMA)
In the register: ტრიოპაზი 20 მგ, გასტრორეზისტენტული კაფსულა
№ რ-040267
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

Zemo 20 mg, Capsule

gastro-resistant capsule, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
6.6/10
Situational / acceptable
vetman assessment

Zemo

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeDog · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 6.6/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-037707 · Verified on 16 Oct 2026 Off-label use

A clinically credible acid suppressant for selected ulcerative or reflux disease, but not routine nonspecific gastroprotection. The whole 20 mg human capsule is workable only when it matches the dog's calculated dose; smaller patients need a more suitable formulation.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy7.5/10

Controlled canine studies show reliable acid suppression, superiority to famotidine and effective twice-daily 10 mg delayed-release capsules; a current authorised veterinary 10 mg capsule supports the class and formulation. Clinical outcome evidence is less extensive than pH evidence, and consensus rejects indiscriminate prophylaxis.

Safety and tolerability7.0/10

Short courses have a favourable, well-characterised profile and a current dog-authorised 10 mg comparator, but these exact human capsules lack canine dossiers. Prolonged use can cause hypergastrinaemia, rebound acid secretion and microbiome or nutrient effects; hepatic dysfunction, hypersensitivity and interactions require review.

Clinical practicality5.5/10

This whole-only 20 mg delayed-release capsule can match selected medium or large dogs but cannot support small-dog or fine dose adjustment. Twice-daily administration before food is workable at home when the dose matches; do not crush or estimate unmeasured bead fractions.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease
5.4/10
Weak evidence support
vetman assessment

Zemo

20 mg, gastro-resistant capsule, human medicine
Assessed clinical scopeCat · Oral omeprazole for clinically justified acid suppression in suspected or documented gastroduodenal ulceration/erosion or reflux oesophagitis; not routine treatment of uncomplicated vomiting, gastritis, pancreatitis, hepatic or renal disease · By mouth
Care settingVeterinary-directed inpatient or outpatient treatment, normally given before food on a consistent twice-daily schedule for active acid-related disease, with diagnosis and duration reassessed
vetman score 5.4/10 Weak evidence support
Evidence confidence: Medium Georgia: Yes, human · № რ-037707 · Verified on 16 Oct 2026 Off-label use

Omeprazole can suppress feline gastric acid, but this exact whole-only 20 mg human capsule cannot deliver the studied approximately 4-6 mg feline dose accurately. The low score reflects the presentation, not rejection of omeprazole in an appropriate feline indication.

Regulatory and scientific credibility6.0/10

The exact human presentation has a sourced current Georgian registration and identifiable manufacturer and strength, but exhaustive checked EU/EEA, UK and US registers contained no exact trade-name match. It has no veterinary authorisation and animal use is off-label.

Clinical efficacy6.5/10

Controlled feline studies show that approximately 1 mg/kg twice daily suppresses gastric acid better than famotidine/placebo and peri-anaesthetic dosing raises gastric and oesophageal pH. Evidence is primarily physiologic and short-term rather than clinical healing outcomes, and routine prophylaxis is unsupported.

Safety and tolerability6.5/10

Short courses are generally tolerated, but exact human capsules lack a feline dossier. A 60-day study found hypergastrinaemia and rebound hyperacidity after withdrawal; prolonged suppression can alter flora and nutrient absorption, while hepatic dysfunction, hypersensitivity and clinically important interactions require review.

Clinical practicality0.5/10

The studied feline dose is about 1 mg/kg twice daily, but this delayed-release capsule is whole-only at 20 mg and cannot accurately deliver the usual 4-6 mg dose. Crushing destroys gastro-resistance and unmeasured bead fractions are not validated; use a suitable veterinary or compounded form.

Full-course cost-effectiveness-

Price was not assessed and is excluded from the overall score.

Important safety and use flags

  • Do not use omeprazole as automatic cover for uncomplicated vomiting, gastritis, pancreatitis, hepatic disease, renal disease, corticosteroids or NSAIDs without an individual ulceration/bleeding rationale. Diagnose and treat the underlying cause.
  • Do not use after a previous hypersensitivity reaction to omeprazole, another substituted benzimidazole or an excipient. Stop and treat urgently for facial swelling, bronchospasm, collapse or anaphylaxis.
  • Alarm signs such as weight loss, recurrent vomiting, dysphagia, haematemesis, melaena or anaemia require investigation. Acid suppression can mask signs and delay diagnosis of neoplasia, foreign material or another bleeding lesion.
  • Severe hepatic dysfunction can increase systemic exposure. Review liver disease, clinical response and adverse effects and use the lowest justified effective regimen.
  • Review concurrent medicines: CYP2C19 effects can alter clopidogrel, diazepam, phenytoin, warfarin or tacrolimus exposure, while raised gastric pH can reduce absorption of itraconazole/ketoconazole, mycophenolate, iron and other pH-dependent drugs.
  • Reassess prolonged treatment. Sustained acid suppression can cause hypergastrinaemia, altered gastrointestinal flora or infection risk and impaired magnesium/cobalamin/iron handling; monitor according to duration and patient risk.
  • After more than 3-4 weeks of treatment, do not stop abruptly unless safety requires it. Taper a clinically unnecessary PPI to reduce rebound acid hypersecretion and recurrence of acid-related signs.
  • This delayed-release capsule is recorded as whole-only. Do not crush or chew it, and do not treat an unmeasured fraction of enteric-coated beads as an accurate veterinary dose; select a suitable lower strength or validated compounded form.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Omeprazole20 mg
Formulation Type
Capsule
Administration route
By mouth
Registration
Georgia Yes, human
In force until 30 Mar 2028
Human (Ministry of Health, RAMA)
In the register: ზემო 20 მგ, გასტრორეზისტენტული კაფსულა
№ რ-037707
Verified on: 16 Oct 2026
EU No
UK No
Verified on: 16 Oct 2026
US No
Verified on: 16 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.