Fm. Andrews et al., OMEPRAZOLE - A PROMISING ANTIULCER DRUG IN HORSES, The Compendium on continuing education for the practicing veterinarian, 18(11), 1996, pp. 1228
After repeated daily doses or one high dose, omeprazole is a potent in
hibitor of gastric acid secretion in horses. Given in the form of dela
yed-release capsules, the agent evidently aids in the healing of gastr
ic ulcers in clinical cases. As the first acid-pump inhibitor, omepraz
ole represents a new class of antiulcer drugs. By regulating the last
step in the production of hydrochloric acid in parietal cells, the age
nt inhibits gastric acid secretion. Chemically, omeprazole is a substi
tuted benzimidazole with a sustained duration of action. Unlike cimeti
dine and ranitidine, omeprazole reaches therapeutic effect when given
once a day. The drug uniquely binds to and decreases the activity of t
he enzyme that catalyzes the exchange of cytosolic hydrogen ions for l
uminal potassium ions. As a result of the affinity of omeprazole for t
he gastric parietal cell, the agent does not affect proton pumps locat
ed in other cellular systems. The antisecretory effect of omeprazole i
s dose dependent and increases with each dose until the drug attains a
steady state of inhibition. Omeprazole is a highly specific inhibitor
of gastric acid secretion with a unique mechanism of action, providin
g control of basal and stimulated secretion.