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Drug interactions

Flibanserin + Omeprazole

Severity: Moderate

Flibanserin 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 and weakly CYP3A4, both involved in flibanserin clearance. Higher flibanserin exposure raises the risk of hypotension, syncope and sedation.

What this interaction means in plain words

Flibanserin 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.

Flibanserin belongs to Genitourinary; Omeprazole belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Omeprazole inhibits CYP2C19 and CYP3A4 metabolism of flibanserin.

What to do

Monitor for dizziness, hypotension and sedation, particularly after dosing at bedtime. Counsel patients and avoid additional CYP3A4 inhibitors or alcohol.

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 Flibanserin with Omeprazole?

MediHelp rates the interaction as moderate. Flibanserin 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 and weakly CYP3A4, both involved in flibanserin clearance. Higher flibanserin exposure raises the risk of hypotension, syncope and sedation.

How serious is the interaction between Flibanserin 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 for dizziness, hypotension and sedation, particularly after dosing at bedtime. Counsel patients and avoid additional CYP3A4 inhibitors or alcohol.

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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