Drug interactions
Carbonyl iron + Omeprazole
Severity: Moderate
Carbonyl iron 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
Gastric acid aids dissolution and absorption of non-heme iron, so PPIs can reduce iron uptake. Long-term use may contribute to iron deficiency or blunt response to oral iron.
What this interaction means in plain words
Carbonyl iron 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.
Carbonyl iron belongs to Miscellaneous; Omeprazole belongs to Gastrointestinal Tract.
Why it happens
Reduced gastric acidity decreases solubilization and absorption of oral iron.
What to do
Monitor ferritin and hemoglobin in long-term combined use; consider intravenous iron or a lower PPI dose if response is poor.
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?
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Other interactions of Omeprazole
- Mavacamten + Omeprazole Contraindicated
- Omeprazole + Rilpivirine Contraindicated
- Acalabrutinib + Omeprazole Major
- Atazanavir + Omeprazole Major
- Citalopram + Omeprazole Major
- Clopidogrel + Omeprazole Major
Other interactions of Carbonyl iron
- Aluminum hydroxide + Carbonyl iron Moderate
- Baloxavir marboxil + Carbonyl iron Moderate
- Calcium acetate + Carbonyl iron Moderate
- Calcium carbonate + Carbonyl iron Moderate
- Calcium + Carbonyl iron Moderate
- Carbidopa-entacapone-levodopa + Carbonyl iron Moderate
Frequently asked questions
Can I take Carbonyl iron with Omeprazole?
MediHelp rates the interaction as moderate. Carbonyl iron 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. Gastric acid aids dissolution and absorption of non-heme iron, so PPIs can reduce iron uptake. Long-term use may contribute to iron deficiency or blunt response to oral iron.
How serious is the interaction between Carbonyl iron 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 ferritin and hemoglobin in long-term combined use; consider intravenous iron or a lower PPI dose if response is poor.
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.
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