Pharmacology · single question

What is the mechanism of action of omeprazole?

  1. Irreversible inhibition of the gastric H+/K+ ATPase (proton pump)
  2. Neutralization of gastric acid
  3. Coating of the gastric mucosa
  4. H2 receptor antagonism
Show answer and explanation

Correct answer: A. Irreversible inhibition of the gastric H+/K+ ATPase (proton pump)

  • A. Correct. Omeprazole is a prodrug activated in the acidic parietal-cell canaliculus, where it irreversibly binds the proton pump. Dental relevance: chronic PPI use is linked to reduced calcium/B12 absorption and altered bone metabolism.
  • B. That describes antacids such as calcium carbonate.
  • C. That describes sucralfate.
  • D. That describes ranitidine and famotidine.

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