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Drug interactions

Modafinil + Omeprazole

Severity: Minor

Modafinil and Omeprazole: minor 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

Modafinil induces CYP3A4 and inhibits CYP2C19, so omeprazole exposure may rise through reduced CYP2C19 clearance. Modafinil labeling lists omeprazole as a CYP2C19 substrate whose levels may increase.

What this interaction means in plain words

Modafinil and Omeprazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Modafinil belongs to Central Nervous System; Omeprazole belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Modafinil inhibits CYP2C19, reducing omeprazole clearance.

What to do

Dose reduction is rarely needed; monitor for omeprazole adverse effects, especially at high doses.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Modafinil with Omeprazole?

MediHelp rates the interaction as minor. Modafinil and Omeprazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Modafinil induces CYP3A4 and inhibits CYP2C19, so omeprazole exposure may rise through reduced CYP2C19 clearance. Modafinil labeling lists omeprazole as a CYP2C19 substrate whose levels may increase.

How serious is the interaction between Modafinil and Omeprazole?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Dose reduction is rarely needed; monitor for omeprazole adverse effects, especially at high doses.

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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