Patient/caregiver was educated on the side-effects of using omeprazole as follows:

Acute nephritis

• Omeprazole use can sometimes result in acute nephritis and compromised renal function, secondary to some unknown allergic response to the medication.
• Compromised renal function also can lead to delayed elimination of many other medications, including omeprazole, from the body, which allows the medications to be in the blood stream longer, thus increasing the risk for side-effects and toxicity with the medications.
• Periodical evaluation of renal function can help timely diagnosis of any compromise in renal function and allows take measures accordingly.

Anemia

• Prolonged omeprazole use can result in compromised absorption of vitamin B₁₂, vitamin C, and iron in the stomach.
• This can result in anemia with pale skin and mucus membranes with exacerbation of shortness of breath.
• Periodical labs, administration of supplements, and spacing out of supplement administration with omeprazole can help resolve anemia and symptoms.

Hypomagnesemia

• Prolonged omeprazole use can result in compromised absorption of magnesium, leading to hypomagnesemia.
• Low magnesium levels in the blood can result in arrhythmias, episodes of dizziness, confusion, tremors, and muscle cramps in the extremities.
• Patients can also manifest with episodes of seizures due to low magnesium levels in the blood.
• Periodical labs, administration of magnesium supplements, and spacing out of supplement administration with omeprazole can help resolve symptoms of low magnesium levels in the blood.
• Discontinuing the patient on omeprazole and starting the patient on any alternative medication could also be considered to prevent life-threatening arrhythmias and seizure episodes.