Egton Medical Information Systems Limited. Other drugs that have the same active ingredients (e.g. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. What should I know regarding pregnancy, nursing and administering Omeprazole to children or the elderly? generic drugs) are not considered. Yes: These are effective adjuncts for stomach acidity and for gerd. eHealthMe is studying from 359,941 Omeprazole users for its effectiveness, alternative drugs and more. These Vitamins & Supplements Might Interact With Your Birth Control, Studies have shown that a persons absorption of Vitamin K may be reduced when other fat-soluble vitamins such as Vitamin E and Vitamin D are taken together, says Dr. Chris Airey, M.D. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Nutritional Supplements at Mayo Clinic Store. It's important to note that there is a drug interaction between Prilosec (omeprazole) and levothyroxine. The most common side effects associated with taking omeprazole include but are not limited to: Headache Vomiting Abdominal pain Diarrhea I've only been on the forum for a couple of weeks but am surprised to learn that some people who've been on Pred for a while, are only just beginning to take a supplement. And, while we should always turn to food for our vitamin and mineral intake, sometimes vitamin supplementation can help us fill the gaps in our diet. Curr Gastroenterol Rep. 2012;11(6):173-179. Accessed Aug. 28, 2018. Thats the basic schedule. If you make a positive or negative comment about a product, note whether or not you have a financial interest in the product or in a competing product. Highly acidic environments, such as the gastric environment, help promote calcium ionization from foods or salt forms.1 The major difference between calcium supplements tends to be the salt forms. No problem: These 2 meds can be taken together. 2023 SheMedia, LLC. Is there one? But if you do take magnesium, Erin Stokes, ND, recommends not taking it at the same time as your multivitamin, as it may interfere with the absorption of smaller minerals found in the multivitamin, like iron and zinc. The rapid acid control with a You can use the study as a second opinion to make health care decisions. / These medications are commonly used to decrease stomach acid in conditions like: The calcium supplement is to prevent osteoporosis. It is often used in gastroesophageal reflux disease. Select a condition to view a list of medication options. It is created by eHealthMe based on reports of 14,014 people who take Omeprazole and Calcium from the FDA, and is updated regularly. Therefore, calcium citrate should be recommended over calcium carbonate.2. Can take together with a quick-acting antacid (like Maalox or Tums) for quick relief. Patient is a UK registered trade mark. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Question posted by three kittens on 28 Sep 2014, Last updated on 28 September 2014 by kaismama, I am taking omeprazole 20mg for acid reflux can I take calcium carbonate coated caplets safely without any side effects. Find out if there are any supplements that should be avoided when taking acetaminophen (Tylenol). Over-the-counter (OTC) PPIs include Prilosec OTC (omeprazole), Zegerid OTC (omeprazole and sodium bicarbonate), and Prevacid 24HR (lansoprazole). . https://naturalmedicines.therapeuticresearch.com. Thankfully, there are no harmful side effects, however Dr. Airey says its simply not efficient to take them together as your bodys ability to absorb the vitamins will be reduced if you take them together. Can vitamins help prevent a heart attack? Use of the forums is subject to our Terms of Use If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Can having vitamin D deficiency cause high blood pressure? As a result, he says you want to wait at least two hours before taking Vitamin C with your Vitamin B12. With . Accessed Aug. 28, 2018. I've been taking Omeprazole 4 months. Please where can I buy it? 6 years ago, Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Vitamin B complex supplement recommendations, benefits and top rated brands for older people and all ages. Thanks!! Best recommended OTC drug for random heartburn? I also am on methotrexate as well now and was prescribed folic acid as a supplement to that. I take Tums (calcium carbonate) every night for acid reflux..Would it be better to have an operation? Please see a doctor when you can there are many other ppi's that my help control you symptoms, good luck, calcium carbonate, omeprazole, gerd, side effect, calcium. Try searching for what you seek or ask your own question. 3 The FDA issued a strong warning against using omeprazole and esomeprazole with clopidogrel because of the potentially decreased effectiveness for clopidogrel. Do vitamin B12 Patches like PatchMD really work? Registered in England and Wales. Looking to level-up your post-workout self-care? I have been diagnosed with a hiatal hernia and had a endo scope done. Related story The listed side effects of omeprazole don't mention effects on your iron levels or ability to absorb iron 1. Calcium is primarily absorbed in its ionized form in the upper small intestine. List Omeprazole side effects by likelihood and severity. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Calcium supplements When should they be taken. So, I do take Nexium. Common brand names: Prilosec, Prilosec OTC Summary of Interactions with Vitamins, Herbs, & Foods What Are Nutrient Interactions Find out if melatonin supplements can help with stomach pain, ulcers, reflux and dyspepsia, or if it can cause stomach upset. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Some people take pred in the wee small hours with only a small helping of yoghurt and they seem to be fine. Peptic ulcers caused by H. pylori infection are typically treated with antibiotics, but certain supplements may also help. Are there supplements I should avoid, or be taking, due to this drug? No prilosec. and Privacy Policy and steps will be taken to remove posts identified The phase IV clinical study analyzes what interactions people who take Omeprazole and Calcium have. The 2.5mg is only available as a coated tab. Yes, I take Adcal D3 daily and also Ranitidine (similar to Omprazole which didn't agree with me). not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in eHealthMe is studying from 6,120 Calcium carbonate users for its effectiveness, alternative drugs and more. Unless a person has another stomach problem or has reacted to prednisone, I don't think Omeprazole is given as a matter of course with prednosone. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. It might depend whether you're taking K2-MK7 or K2-MK4. Is is that unusual or do most of you have these as well? Learn how to enable it, PPIs can affect your ability to absorb certain vitamins and minerals, such as reducing calcium absorption. Please do not submit any type of HTML markup or scripting as it will not be accepted, nor will posts that exceed 2,500 characters. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Part of the reason behind the confusion is for some supplements, your absorption level can depend on which ones you are taking together and may also result in adverse interactions, which can be harmful to your health. They all do different things. The use of the eHealthMe site and its content is at your own risk. Some people have a problem with this when taking prednisone. Nexium and Omeprazole are the same thing, aren't they? Dosage of drugs is not considered in the study. This survey is being conducted by the WebMD marketing sciences department. Calcium is best absorbed when it's taken in smaller doses (typically less than 600 milligrams at one time). They all do different things. Posted I have been taking prilosec, famitodine and tums (calcium carbonate). * Approximation only. Your body will attempt to compensate for an overly acidic diet by pulling alkaline substances into the blood stream to bring the Ph level back to normal. Chronic proton pump inihibitor therapy and calcium metabolism. Do any supplements interact the same way with drugs? So space these at least 1 hour apart. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. * Approximation only. https://ods.od.nih.gov/factsheets/Calcium-HealthProfessional. This site is intended for informational purposes only and not to provide medical advice. So here you are with your chosen vitamins (which should be properly prescribed and/or recommended by a medical professional) and you dont know whats the best strategy to take them. People taking medications that reduce stomach acid such as the proton-pump inhibitors (Prevacid, Prilosec) or the H2 blockers (Tagamet, Zantac) should take a calcium citrate supplement because lower amounts of stomach acid mean they won't absorb calcium . If a patient cannot afford calcium citrate, however, they can use calcium carbonate as long as they are properly counseled to take it with meals (specifically breakfast) to promote better absorption. J Bone Miner Res. Had a upper GI and it came back with hypertrophic gastritis. Find out the side effects and potential adverse effects of too much magnesium. Patient is a UK registered trade mark. Omeprazole delayed-release capsules are a proton pump inhibitor (PPI) indicated for the: Treatment of active duodenal ulcer in adults ()Eradication of Helicobacter pylori to reduce the risk of duodenal ulcer recurrence in adults Treatment of active benign gastric ulcer in adults ()Treatment of symptomatic gastroesophageal reflux disease (GERD) in patients 2 years of age and older () Unfortunately, taking iron supplements along with green tea isnt a great mix. To provide you with the most relevant and helpful information, and understand which Things to remember when you fill your prescription. Its advised that you take these vitamins at least 2 hours apart to maximize your absorption.. This feature is restricted to active members. One thing leads to another in this world of being pumped with different drugs?? Accessed Aug. 28, 2018. Yes, I take Adcal D3 daily and also Ranitidine (similar to Omprazole which didn't agree with me). What antibiotics should not be taken with omeprazole? Should i be worried? It by-passes the stomach and is absorbed lower down in the gut. Omeprazole is a proton pump inhibitor (PPI) that is FDA-approved to treat certain digestive conditions, such as GERD and gastric ulcers. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. The phase IV clinical study analyzes what interactions people who take Omeprazole and Calcium carbonate have. I haven't taken any notice as to whether the pills are coated or not and wonder if this may have an impact? Who can and cannot take omeprazole How and when to take omeprazole Side effects of omeprazole Pregnancy, breastfeeding and fertility while taking omeprazole Taking omeprazole with other medicines and herbal supplements Common questions about omeprazole www.barrettscampaign.org.uk www.cardcharity.co.uk Guts UK: charity gutscharity.org.uk I have taken a pill of Prilosec and extra strength tums (calcium carbonate). Vomiting and headaches can also occur. Also see our CL Answer about supplements for indigestion and heartburn. These medications may interact and cause very harmful effects. Enteric coated pred is only available in the UK as far as I know. Results of a study comparing the absorption of calcium at different pHs indicated that patients in the fasting state had impaired absorption of calcium from calcium carbonate but normal absorption from calcium citrate.2 Calcium citrate also had a 46% greater peak-basal variation and a 94% greater change in AUC for serum calcium compared with calcium carbonate.3, Additional benefit from calcium citrate use was a significant reduction in serum parathyroid hormone (PTH) levels from baseline. Vitamin B12 plays an important role in red blood cell production and the proper functioning of your nervous system, and B12 deficiency can lead to poorer nerve health and affect red blood cell development and function., While the mixing of supplements can be overwhelming at first, Stokes says the most important aspect of a supplement regimen is to keep it simple, to set yourself up for success. It is often taken once daily for four to eight weeks or longer. Calcium is easy to increase with diet changes, but magnesium is not. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. The symptoms of this can include: Pain in the belly or cramps Bloating Diarrhea Gas Stools that are oily Weight loss that is not explained. They do not interfere with each other and can be taken together. Stopped 40mg of omeprazole 2 days ago - when do side effects stop? 2023 ConsumerLab.com, LLC. Notify me of follow-up comments by email. Omeprazole (Prilosec), esomeprazole (Nexium), and pantoprazole (Protonix) are in a class of medications known as proton pump inhibitors. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We comply with the HONcode standard for trustworthy health information. information highlighted below and resubmit the form. Ito T, Jensen RT. Vitamins for MS: Do supplements make a difference? CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Other drugs that have the same active ingredients (e.g. respect of any healthcare matters. Find out which 7 supplements might be beneficial and which 3 should be avoided. Read our editorial policy. Safe to use in children ages 1 or older. People can use OTC omeprazole tablets to treat frequent heartburn that occurs two or more times per week. Why Doesn't the U.S. Have at-Home Tests for the Flu? 782 people who take Omeprazole and Calcium carbonate together, and have interactions are studied. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Omeprazole causes pain to my hips. . Read More ConsumerLab.com name and flask logo are both registered trademarks of ConsumerLab.com, LLC. any suggestions on quick relief? Info on the most common, potentially dangerous, interactions between drugs & supplements, including Lisinopril interactions and others. CYP3A4 inhibitors, such as grapefruit, can interact with certain medications by inhibiting the liver enzyme that metabolizes many drugs. Calcium has active ingredients of calcium. I am controlling any feelings of acid with Gaviscon. Additionally, she says to refrain from taking calcium, magnesium or zinc together as they will compete for absorption., While Dr. Jaydeep Tripathy says taking calcium and magnesium helps prevent osteoporosis, in order to maximize the benefits, take them two hours apart. DISCLAIMER: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. However, doctors do not recommend omeprazole tablets for immediate heartburn relief. Your physician may want to switch you to a. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). . It is often used in osteoporosis. Does omeprazole cause side effects even though off from it. The Centers for Disease Control and Prevention says No. It was only after a check up with my GP that it was highly suggested. Read our editorial policy. Calcium citrate isn't as dependent on stomach acid, so it can be taken any time. I've been taking Om since May 2013, due to diagnosis for a small hiatus hernia and the soft palate being red. An interaction is when a substance changes the way a drug works. Drug interactions are reported among people who take Omeprazole and Calcium carbonate. The phase IV clinical study analyzes what interactions people who take Omeprazole and Calcium have. These Vitamins & Supplements Might Interact With Your Birth Control. Calcium with D3 (and you really should get other nutrients as well but that doesn't seem to be the standard protocol) because pred can cause bone thinning. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Yang YX. Here are the Best Sex Positions toTry, How to Use Your Love Language to PracticeSelf-Care, Want to Level-Up Your Manifestation Skills? Side Effects Of Omeprazole. Generic and over-the-counter options available. Created for people with ongoing healthcare needs but benefits everyone. I have read the leaflet included with the capsules and have become concerned about long term use of this drug as it mentions an increased risk of osteoperosis. "Ordinary" pred is usually white, enteric coated 5mg pred is red, 2.5mg brown. I've heard that grapefruit juice can interact with medications because it inhibits an enzyme that breaks down drugs in the body. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. information is beneficial, we may combine your email and website usage information with Because calcium citrate is not dependent on acid or pH for absorption, it may be the preferred calcium supplement for PPI users. Signs that you are still dealing with copper deficiency include fatigue, weakness, brittle bones, cold sensitivity and easy bruising. I would be very interested to know. If you experience prolonged symptoms like these, it would be best to go visit your physician. Start With Your SensualEnergy, turn to food for our vitamin and mineral intake, How to Unapologetically Love Your Body During DietSeason, Congenital Syphilis Cases Are Skyrocketing: What Parents Need toKnow, Alarming New Report Shows Colon Cancer Is on the Rise Among Adults Younger Than55. In contrast to prescription PPIs, OTC PPIs. The underlying data to can i take allegra and xyzal together xyzal 5 mg support the other results reported in the article. I try to remember to do that but usually forget. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. It's recommended that people at high risk for. Do proton pump inhibitors decrease calcium absorption? It is based on omeprazole and calcium (the active ingredients of Omeprazole and Calcium, respectively), and Omeprazole and Calcium (the brand names). If you must take both, take them at least two hours apart.. You may experience issues such as gas, constipation, nausea and diarrhea while taking the medication. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Find out how much magnesium you should be getting on a daily basis, signs of magnesium deficiency, and how much magnesium is too much, particularly from magnesium supplements and laxatives containing magnesium. Do not stop taking it without talking to your doctor. I don't know I do need them as such. If you still aren't sure about the best time to take calcium supplements, check with your doctor or pharmacist for guidance. The study uses data from the FDA. For your privacy, only your first name (from your account) followed by a random number will appear with your comment. 1. However, there can be adverse effects if you dont take the drug as recommended. I found that I had this stomach trouble only if I tried taking NSAID pain killers (aspirin, ibuprofin, etc. Try calcium citrate instead (citracal). Any info would be helpful. I'm trying to ween myself off of prilosec. Egton Medical Information Systems Limited. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. Mayo Clinic does not endorse companies or products. All information is observation-only. . the unsubscribe link in the e-mail. For example, I always take my multivitamin and turmeric supplements in the morning, and take my magnesium and probiotic in the evening. This is necessary as I have osteopenia (both my 94 yr old parents have osteoporosis) and obviously pred is not good for bones. Save money by finding high-quality products at lower cost. It can take up to four weeks for prescription omeprazole to work completely. Skip 1 day acid reflux returns.Is it safe to continue taking ? Notes on Can Omeprazole increase calcium levels, https://patient.info/forums/discuss/can-omeprazole-increase-calcium-levels-41484. Personalize this study to your gender and age, Malaise (a feeling of general discomfort or uneasiness), Esomeprazole Magnesium and Feeling Of Body Temperature Change, Remeron and Postural Orthostatic Tachycardia Syndrome, Platelet Aggregation Inhibition and Insomnia. Based on current research, no clinical evidence suggests that calcium citrate is superior to calcium carbonate in terms of preventing osteoporosis-related fractures in patients on chronic PPI therapy. I have acid reflux and have had worse bloating today than normal. Different individuals may respond to medication in different ways. While omega-3 fish oil supplements are great for heart health and gingko biloba can be used to aid cognitive impairment, according to Dr. Tripathy, both have blood-thinning potentials and taking both together can increase risk for uncontrollable bleeding or inability to clot., If you are taking copper supplements because of copper deficiency, avoid taking zinc at the same time, says Dr. Airey. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. * We do not sell or share your personal information with anyone else, ever. I have really bad heartburn. Be sure to also read about magnesium depletion, which can occur with PPI use, in the Magnesium Supplements Review. Yes, you could take omeprazole in the morning and famotidine at night but there are not many studies investigating this approach. There is a problem with information submitted for this request. I take Prilosec and Tums (calcium carbonate) but i still have pain in throat and chest everytime after i eat how do u know if your esophagus id damaged. Having a Threesome? Omeprazole and pantoprazole are proton pump inhibitors, most commonly used for gastroesophageal reflux disease (GERD), ulcers, and other gastric hypersecretory conditions. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. http://www.nap.edu/read/13050/chapter/4#37. Review/update the Looking for Titralac, or exact equivalent. I resisted as I haven't had any stomach issues with Pred. Be alerted to newclinical findings & warnings. other information we have about you. I understand the Omeprazole is given to ward off irritation of the stomach, though it's not something I'm generally prone to. See our, 7 Supplements That May Help Treat Peptic Ulcers and 3 To Avoid. Our phase IV clinical studies alone cannot establish cause-effect relationship. Who can and cannot take omeprazole How and when to take omeprazole Side effects of omeprazole Pregnancy, breastfeeding and fertility while taking omeprazole Taking omeprazole with other medicines and herbal supplements Common questions about omeprazole Page last reviewed: 18 November 2021 Next review due: 18 November 2024 A diet heavy in acidic foods might, though. I have a stomachache, used tums, (calcium carbonate) maalax, Prilosec do not work. All rights reserved. Can I take tums (calcium carbonate) if I've taken Pepto and Prilosec tonight? Selected from data included with permission and copyrighted by First Databank, Inc. Drug interactions are reported among people who take Omeprazole and Calcium. Bloomington, Minn.: Institute for Clinical Systems Improvement. Still looking for answers? Has anyone ever heard of this? 18 December, 2018 If you experience symptoms of acid reflux or heartburn, your doctor may prescribe Prilosec (omeprazole) or Protonix (pantoprazole) to decrease the amount of acid produced in your stomach 1 2. Posted Been told I have silent acid reflux. Created for people with ongoing healthcare needs but benefits everyone. Information on laxative interactions with other medications and supplements such as Maalox, antibiotics, and statins and diabetes medications. Calcium carbonate is an insoluble salt form, while calcium citrate is a soluble salt form.2,3 Insoluble calcium salts require a lower pH to help facilitate the release of ionized calcium from the complex.1,3 Patients taking PPIs may have issues absorbing an optimal amount of calcium from insoluble salt forms, such as calcium carbonate. I ran out of usual med prilosec. However, a single post-hoc analysis involving patients on calcium supplements varying in solubility revealed that the relationship between solubility and absorption was weak.2, This analysis showed that calcium absorption is more dependent on components of coingested foods than pH solubility.2 On the other hand, some data suggest that calcium absorption is significantly dependent on gastric pH.1. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, STRONG & MODERATE CYP2C19 INHIBITORS/MAVACAMTEN, SLT STRONG & MODERATE CYP2C19 INHIBITORS/CILOSTAZOL (> 50MG), PROTON PUMP INHIBITORS/ATAZANAVIR; NELFINAVIR, H2 ANTAGONISTS; PROTON PUMP INHIBITORS/LEVOKETOCONAZOLE, H2 ANTAGONISTS;PROTON PUMP INHIBITORS/METHYLPHENIDATE XR-ODT, H2 ANTAGONISTS; PROTON PUMP INHIBITORS/SOTORASIB, LONG ACTING ANTACIDS; H2S;PPIS/SELECTED CEPHALOSPORINS, H2 ANTAGONISTS; PROTON PUMP INHIBITORS/SECRETIN, PROTON PUMP INHIBITORS/LEDIPASVIR; VELPATASVIR, STRONG; SELECTED MODERATE CYP2C19 INHIBITORS/CLOBAZAM, PROTON PUMP INHIBITORS/METHOTREXATE (ONCOLOGY-INJECTION ), SELECT CYP2C19 INHIBITORS/CITALOPRAM (>20 MG), ESOMEPRAZOLE; OMEPRAZOLE; CIMETIDINE/CLOPIDOGREL, CIMETIDINE; PROTON PUMP INHIBITORS/POSACONAZOLE SUSPENSION, PROTON PUMP INHIBITORS/SELECTED KINASE INHIBITORS, SLT PROTON PUMP INHIBITORS/SELECT CYP2C19 AND CYP3A4 INDUCER, SLT MODERATE AND WEAK CYP3A4 INHIBIT/SIROLIMUS PROTEIN-BOUND, SLT STRONG & MODERATE CYP2C19 INHIBITORS/CILOSTAZOL (<=50MG), SELECTED CYP2C19 INHIBITORS/ESCITALOPRAM (<= 15 MG), SELECTED CYP2C19 INHIBITORS/ESCITALOPRAM (> 15 MG), SELECTED CYP2C19 INHIBITORS/CITALOPRAM (<= 20 MG), SELECTED PROTON PUMP INHIBITORS/TACROLIMUS, PROTON PUMP INHIBITORS/MYCOPHENOLATE MOFETIL, PROTON PUMP INHIBITORS/METHOTREXATE(LOW STRENGTH INJ, ORAL), ANTACIDS;H2 ANTAGONISTS;PROTON PUMP INHIBITORS/AMPHETAMINES, AGENTS AFFECTING GASTRIC PH/ITRACONAZOLE; KETOCONAZOLE.
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