Omeprazole (Prilosec)Lansoprazole (Prevacid)Rabeprazole (Aciphex)
IndicationDosageDuration of treatmentDosageDuration of treatmentDosageDuration of treatment
Short-term treatment of active duodenal ulcer20 mg daily4 weeks; another 4 weeks may be required15 mg daily4 weeks20 mg dailyUp to 4 weeks; most will heal in this period; some patients may require additional therapy
Helicobacter pylori eradication for reduction of duodenal ulcer recurrenceTriple therapy: omeprazole, 20 mg, clarithromycin, 500 mg, and amoxicillin, 1,000 mg, each taken twice dailyTriple therapy: 10 days, plus 18 days of omeprazole therapy if an ulcer is present at initiation of treatmentTriple therapy: lansoprazole, 30 mg, amoxicillin, 1,000 mg, and clarithromycin, 500 mg, each taken twice dailyTriple therapy: 10 to 14 daysNANA
Dual therapy: omeprazole, 40 mg daily, and clarithromycin, 500 mg, each three times dailyDual therapy: 14 days, plus 14 days of omeprazole therapy at 20 mg daily if an ulcer is present at initiation of treatmentDual therapy: lansoprazole 30 mg, and amoxicillin, 1,000 mg, each taken three times dailyDual therapy: 14 days
Maintenance therapy for healed duodenal ulcerNANA15 mg dailyNANANA
Short-term treatment of gastric ulcer40 mg daily4 to 8 weeks30 mg dailyUp to 8 weeksNANA
Short-term symptomatic gastroesophageal reflux disease20 mg dailyUp to 4 weeks15 mg daily8 weeksNANA
Short-term erosive esophagitis20 mg daily4 to 8 weeks30 mg daily8 weeks; another 8 weeks of treatment may be required if not healed20 mg daily4 to 8 weeks; if not healed after 8 weeks, another 8 weeks of treatment may be considered
Maintenance therapy of erosive esophagitis20 mg dailyNA15 mg dailyNA20 mg dailyNA
Pathologic hypersecretory conditionsDosages vary; recommended starting dosage is 60 mg daily; dosages of 120 mg three times daily may be needed; dosages of more than 80 mg daily should be dividedTreatment for several years may be requiredDosages vary; usual starting dosage is 60 mg daily, up to 90 mg twice daily; dosages of more than 120 mg daily should be dividedTreatment for years may be requiredDosages vary; usual starting dosage is 60 mg daily, and dosages of 60 mg twice daily may be requiredTreatment for several years may be required