Omeprazole injection is used to suppress gastric acid hypersecretion. It works by inhibiting the proton pump in the stomach. It is indicated for acute gastric ulcer, duodenal ulcer, reflux esophagitis, Zollinger-Ellison syndrome, and preventing acid aspiration where oral medication is not appropriate. For ulcers and reflux esophagitis, the recommended dose is 40 mg once daily. For Zollinger-Ellison syndrome, the initial dose is 60 mg daily and may be increased or divided into twice daily dosing. It is also recommended at 40 mg 1 hour before surgery for acid aspiration prophylaxis.