methotrexate or stop your treatment with methotrexate. omeprazole (Prilosec, Prilosec OTC, Zegerid), pantoprazole (Protonix);
Both Methotrexate and Olaparib can increase the risk of myelosuppression. Omeprazole. Omeprazole decreases the clearance of Methotrexate (high-dose).
Clopidogrel: omeprazole reduces effectiveness of clopidogrel. Omeprazole and clopidogrel are metabolised by the same enzyme (CYP2C19). 10; Methotrexate: omeprazole increases exposure to methotrexate as it inhibits renal elimination of methotrexate. 11; Lansoprazole Indications. Like omeprazole, lansoprazole is another type of proton pump inhibitor.
Omeprazole taken with clopidogrel can lower the activity of clopidogrel, so avoid taking these drugs together. Taking omeprazole with methotrexate may result in high levels of methotrexate or methotrexate toxicity. Your doctor may temporarily stop omeprazole treatment if you are taking a high dose of methotrexate.
Hepatic insufficiency: − Omeprazole: In − Methotrexate - PPIs possibly reduce excretion of methotrexate, leading to an increased risk.
How To Manage Interaction. Concomitant use of methotrexate (primarily high doses) and proton pump inhibitors (pantoprazole, omeprazole, or esomeprazole) may cause delayed elimination of methotrexate, increased methotrexate and/or hydroxymethotrexate concentrations, and subsequent methotrexate toxicity. A temporary withdrawal of omeprazole may
Omeprazole taken with clopidogrel can lower the activity of clopidogrel, so avoid taking these drugs together. Taking omeprazole with methotrexate may result in high levels of methotrexate or methotrexate toxicity. Your doctor may temporarily stop omeprazole treatment if you are taking a high dose of methotrexate.
methotrexate. Monitor/Modify Tx. omeprazole methotrexate. consider stopping proton pump inhibitor during high-dose methotrexate: combo may incr. methotrexate
omeprazole, esomeprazole, and pantoprazole, with methotrexate (primarily at high dose), may elevate and prolong serum levels of methotrexate.
Hence Omeprazole being a much more expensive drug than it is now.....