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Interações medicamentosas

Domperidone + Omeprazole

Gravidade: Leve

Domperidone and Omeprazole: minor interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Reduced gastric acidity from omeprazole may lower the absorption of domperidone, which needs an acidic environment for dissolution. This may reduce the prokinetic or antiemetic effect. The clinical impact is usually modest, and omeprazole does not meaningfully inhibit CYP3A4 or add to QT risk.

O que esta interação significa em palavras simples

Domperidone 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.

Domperidone belongs to Gastrointestinal Tract; Omeprazole belongs to Gastrointestinal Tract.

Nível de evidência: Moderate

Por que acontece

Higher gastric pH from proton pump inhibition reduces domperidone dissolution and absorption. It is not mediated through CYP3A4.

O que fazer

Give domperidone 15 to 30 minutes before meals as labelled. Review clinical response and adjust therapy if efficacy is reduced.

O que perguntar ao farmacêutico

  • 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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Referências

  • Motilium (domperidone) Summary of Product Characteristics — EMA SmPC

Perguntas frequentes

Can I take Domperidone with Omeprazole?

MediHelp rates the interaction as minor. Domperidone 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. Reduced gastric acidity from omeprazole may lower the absorption of domperidone, which needs an acidic environment for dissolution. This may reduce the prokinetic or antiemetic effect. The clinical impact is usually modest, and omeprazole does not meaningfully inhibit CYP3A4 or add to QT risk.

How serious is the interaction between Domperidone 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: Give domperidone 15 to 30 minutes before meals as labelled. Review clinical response and adjust therapy if efficacy is reduced.

What other medicines interact with Domperidone?

MediHelp also lists interactions of Domperidone with, for example, Azithromycin, Erythromycin, Dexlansoprazole. The full list is on the Domperidone page.

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