Table 1.
Type of proton pump inhibitor available
PPI
|
Omeprazole
|
Esomeprazole
|
Lansoprazole
|
Dexlansoprazole
|
Pantoprazole
|
Rabeprazole
|
Half-life (T1/2) (hrs)[7-9] | 0.6-1.0[7] | 1.1[8] | 0.9-1.6[7] | 1-2[9] | 0.9-1.9[7] | 1[7] |
Hepatic metabolism[10] | Major: CYP2C19; minor: CYP3A4 | Major: CYP2C19; minor: CYP3A4 | Major: CYP2C19; minor: CYP3A4 | Major: CYP2C19; minor: CYP3A4 | Minor: CYP3A4 CYP2C19 | Non-enzymatic reduction minor: CYP2C19 and CYP3A4 |
Elimination[11] | Renal | Renal | Renal/fecal | Renal/fecal | Renal | Renal |
Oral bioavailability (%)[11] | 40-50 | 89 | 80-90 | 50-60 | 77 | 52 |
Food effect[14] | 30 min before breakfast | 60 min before breakfast | 30 min before breakfast | Pharmacokinetics unaffected by meals | Pharmacokinetics unaffected by meals (exception oral suspension: 30 min prior to meal) | Pharmacokinetics unaffected by meals (exception capsule sprinkle: 30 min prior to meal) |
PPI: Proton pump inhibitor.