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Drug interactions

Etravirine + Omeprazole

Severity: Moderate

Etravirine 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

Etravirine inhibits CYP2C19, the main enzyme clearing omeprazole, so omeprazole exposure can rise. This is usually well tolerated, though higher omeprazole exposure may matter with long-term use or high doses.

What this interaction means in plain words

Etravirine 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.

Etravirine belongs to Anti Virals; Omeprazole belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Etravirine inhibits CYP2C19, reducing omeprazole metabolism.

What to do

Consider omeprazole dose reduction if high doses are used for prolonged periods. Monitor for adverse effects.

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 Etravirine with Omeprazole?

MediHelp rates the interaction as moderate. Etravirine 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. Etravirine inhibits CYP2C19, the main enzyme clearing omeprazole, so omeprazole exposure can rise. This is usually well tolerated, though higher omeprazole exposure may matter with long-term use or high doses.

How serious is the interaction between Etravirine 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: Consider omeprazole dose reduction if high doses are used for prolonged periods. Monitor for adverse effects.

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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