Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug are: azole antifungals (itraconazole, ketoconazole, posaconazole, voriconazole), clopidogrel, methotrexate (especially high-dose treatment), voriconazole.
Rifabutin can speed up the removal of other medications from your body, which may affect how they work. Examples of affected drugs include artemether/lumefantrine, lurasidone, mavacamten, phenytoin, ranolazine, suvorexant, calcium channel blockers (such as diltiazem, nifedipine, verapamil), certain products used to treat chronic hepatitis C (such as daclatasvir, ombitasvir/paritaprevir/ritonavir), among others.
Other medications can affect the removal of omeprazole from your body, which may affect how omeprazole works. Examples include rifampin, St. John's wort, among others.
Some products need stomach acid so that the body can absorb them properly. Omeprazole decreases stomach acid, so it may change how well these products work. Some affected products include atazanavir, erlotinib, levoketoconazole, nelfinavir, pazopanib, rilpivirine, sparsentan, among others.
This medication may decrease the effectiveness of hormonal birth control such as pills, patch, or ring. This could cause pregnancy. Discuss with your doctor or pharmacist if you should use reliable backup birth control methods while using this medication. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well.
Omeprazole is very similar to esomeprazole. Do not use any medications containing esomeprazole while using omeprazole.
This medication may interfere with certain lab tests (including urine glucose test), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.
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