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Inside every generic delayed-release capsule of Omeprazole is what you would expect, hundreds of tiny granules, but there is also an entire tablet. An oblong, white, plain (no text) tablet. What is the tablet?

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    can you tell which exact company and which exact components (omeprazole sodium ? magnesium ?) are there ? It should be written on the box. – Blue_Elephant May 20 '16 at 7:48
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    @user2398029 Do you have any evidence to back that up? I've also heard people say (without evidence) the tablet is "magnesium" while the granules are the omeprazole. – WakeDemons3 May 20 '16 at 22:38
  • @Blue_Elephant This is the Equate Omeprazole Magnesium 20.6mg – WakeDemons3 May 20 '16 at 22:39
  • When I look for the exact words you wrote in your previous comment I find the tablets, but not capsules. The name of the manufacturer would still be of great help. Thanks! – Lucky May 22 '16 at 14:31
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    It's not solely magnesium. Omeprazole magnesium is the chemical name, with the omeprazole compound being bound to a magnesium ion for what looks like formulation stability reasons. So the drug is not omeprazole + magnesium. There's a picture of the chemical structure a few paragraphs down on this page:prilosecotc.com/en-us/hcp/prilosec-otc-dosage Although I'm not finding what it is, however... – TheChinBurglar Aug 22 '16 at 20:38
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I also tried to search for any formal information about the product's contents and composition, but couldn't find anything, probably because it is a generic product sold at a supermarket. At any rate, this kind of composition (capsule, pellets and tablet) seems to form the mechanism for the 'delayed release' of Omeprazole, as written on the package. Omeprazole Magnesium package

Omeprazole is a drug with a rather short half-life (0.5-1 hour according to Drug Bank). This means that without any intervention in its pharmacokinetics (absorption, elimination time), it will start working in reducing stomach acid rather quickly - Immediate-release Omeprazole should be taken shortly (about 30 minutes) before eating, in order to reduce stomach acid prior to or during eating.

Now, although Omeprazole's effect is in the stomach, it needs to be protected from the acidic content of the stomach, where it passes before it is absorbed into the blood. After passing the stomach, it is absorbed into the blood and then reaches the parietal cells of the stomach lining and exerts its effect.

In order to make Omeprazole more friendly to the patient, and remove the need to take it only half an hour before eating (thus imposing limitations on the patient and increasing the risk of improper use that might lead to heartburn), delayed-release formulations have been developed. Their main difference and advantage is that the patient does not have to take the capsule only before eating - once he takes the capsule, its contents are slowly released in the body (more slowly than the immediate release formulation), thus providing a delayed effect throughout the day. That is why delayed-release Omeprazole should only be taken once a day (usually in the morning).

The delayed release mechanism is comprised of the pellets and the tablet. The pellets, being smaller, start to disintegrate and release the active ingredient Omeprazole before the tablet (but only after passing through the stomach, since they are enteric-coated as mentioned before). Meanwhile the tablet starts to dissolve, disintegrate and release the active ingredient, but this happens more slowly. After many calculations, it was possible to formulate the capsule and its contents in such a way that one capsule covers an entire day (24 hours). This enables the patient to take one capsule in the morning and act as usual, without worrying about getting heartburn after eating.

As I said in the beginning, I was unable to find formal documentation for this mechanism of delayed release, but the consumers' questions in Walmart's website seem to point in that direction (see page 7; please note that these answers are most probably not provided by professionals, but by customers and others). See also definition no. 2 here, which also seems to apply for this capsule's composition. Q&A from Walmart's website

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  • So basically the granules and the tablet are the same thing. The granules just dissolve quicker, having more surface area, and the pill dissolves more slowly for the longer effect. Thanks for the answer mate. – WakeDemons3 Jan 6 '17 at 19:37
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Couldn't find anything definitive about what it is, but the monograph approved by the FDA only allows Omeprazole as the active ingredient. So it can't be anything that is designed to have an active effect on the body. Also magnesium is not listed as an inactive ingredient anywhere, so we can count that out. If I were to bet I'd say it's just lactose and filler (which is listed under the inactive ingredients and there's basically no volume for it to be in the granules) to give the capsule weight and aid in swallowing/handling. With just the granules the capsule might not have much weight and make consumers think it's empty or not filled correctly or get stuck in the throat more easily.

The enteric coated granules definitely contain the active drug according to every source I could find.

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