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Drug interactions

Belzutifan + Omeprazole

Severity: Moderate

Belzutifan and Omeprazole: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Omeprazole inhibits CYP2C19, one of the pathways metabolizing belzutifan. Higher belzutifan levels may worsen anemia and hypoxia.

What this interaction means in plain words

Belzutifan and Omeprazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Belzutifan belongs to Miscellaneous; Omeprazole belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Inhibition of CYP2C19-mediated belzutifan metabolism raises its exposure.

What to do

Monitor hemoglobin and oxygen saturation and reduce the belzutifan dose if adverse effects occur. Consider an alternative acid suppressant such as an H2 blocker.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Belzutifan with Omeprazole?

MediHelp rates the interaction as moderate. Belzutifan and Omeprazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Omeprazole inhibits CYP2C19, one of the pathways metabolizing belzutifan. Higher belzutifan levels may worsen anemia and hypoxia.

How serious is the interaction between Belzutifan and Omeprazole?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor hemoglobin and oxygen saturation and reduce the belzutifan dose if adverse effects occur. Consider an alternative acid suppressant such as an H2 blocker.

What other medicines interact with Omeprazole?

MediHelp also lists interactions of Omeprazole with, for example, Mavacamten, Rilpivirine, Acalabrutinib. The full list is on the Omeprazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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