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Drug interactions

Omeprazole + Stiripentol

Severity: Moderate

Omeprazole and Stiripentol: 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

Stiripentol inhibits CYP2C19 and may raise omeprazole concentrations, and it has mixed effects on CYP3A4. Omeprazole exposure and adverse effects may increase.

What this interaction means in plain words

Omeprazole and Stiripentol 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 belongs to Gastrointestinal Tract; Stiripentol belongs to Central Nervous System.

Evidence level: Low

Why it happens

Stiripentol inhibits CYP2C19 (and variably affects CYP3A4), reducing omeprazole clearance.

What to do

Monitor for omeprazole adverse effects and reduce the dose if they occur, especially at high doses or in long-term use.

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 Omeprazole with Stiripentol?

MediHelp rates the interaction as moderate. Omeprazole and Stiripentol 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. Stiripentol inhibits CYP2C19 and may raise omeprazole concentrations, and it has mixed effects on CYP3A4. Omeprazole exposure and adverse effects may increase.

How serious is the interaction between Omeprazole and Stiripentol?

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 omeprazole adverse effects and reduce the dose if they occur, especially at high doses or in long-term use.

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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