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omeprazole vs tolterodine

Side-by-side comparison of omeprazole and tolterodine. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

7.4 Other Drugs Metabolized by Cytochrome P450 Isoenzymes In vivo drug-interaction data show that tolterodine immediate release does not result in clinically relevant inhibition of CYP1A2, 2D6, 2C9, 2C19, or 3A4 as evidenced by lack of influence on the marker drugs caffeine, debrisoquine, S-warfarin, and omeprazole [see Clinical Pharmacology (12.3) ] . In vivo drug-interaction data show that tolterodine immediate release does not result in clinically relevant inhibition of CYP1A2, 2D6, 2C9, 2C19, or 3A4 as evidenced by lack of influence on the marker drugs caffeine, debrisoquine,...

Recommendation: You can take these medications together as prescribed without needing any special dose changes.

Drug Class
omeprazole Proton Pump Inhibitor (PPI)
tolterodine Anticholinergic (Overactive Bladder)
Type
omeprazole Over-the-Counter
tolterodine Prescription
Summary
omeprazole

Omeprazole (Prilosec) is a medicine that reduces the amount of acid in your stomach. It belongs to a class of drugs called proton pump inhibitors (PPIs).

tolterodine

Tolterodine extended-release capsules help control an overactive bladder. It reduces the feeling of needing to go to the bathroom often.

What It Treats
omeprazole

This medicine treats frequent heartburn, which is heartburn that occurs 2 or more days a week. It is not meant to give you immediate relief from heartburn. It may take 1 to 4 days for the medicine to fully work.

tolterodine

This medicine treats overactive bladder. It helps reduce leaking urine, the strong need to urinate, and frequent urination. These symptoms are also known as urge urinary incontinence, urgency, and frequency.

How It Works
omeprazole

Omeprazole works by blocking the production of acid in your stomach. It does this by targeting the cells that make stomach acid. This helps to reduce heartburn symptoms.

tolterodine

Tolterodine belongs to a class of drugs called antimuscarinics. It works by blocking certain nerve signals to the bladder. This helps to relax the bladder muscles and reduce the urge to urinate.

Common Side Effects
omeprazole
  • Headache
tolterodine
  • Dry mouth
  • Headache
  • Constipation
  • Abdominal pain
FAERS Reports
omeprazole
  • Tiredness 19,903
  • Feeling sick to your stomach 19,841
  • Loose stools 19,625
  • Difficulty breathing 16,336
  • Headache 14,629
tolterodine
  • Falling down 407
  • Feeling tired 406
  • Feeling lightheaded 309
  • Loose stools 308
  • Feeling sick to your stomach 308
Serious Warnings
omeprazole

Children under 18 should ask a doctor before use. Heartburn in children may be a sign of a serious condition.

tolterodine

Anaphylaxis and angioedema (severe allergic reactions) have happened with this drug. These reactions can cause difficulty breathing and require emergency treatment. Use caution if you have bladder problems, gastrointestinal issues, or glaucoma. This medicine can cause sleepiness, so be careful driving or operating heavy machinery.

Pregnancy
omeprazole

Talk to your doctor if you are pregnant or breastfeeding before taking this medicine. It is important to weigh the benefits and risks with your doctor.

tolterodine

It is not known if tolterodine is safe to use during pregnancy. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if tolterodine passes into breast milk. Talk to your doctor about the best way to feed your baby if you are taking this medicine.

Also Compare, Nearby Drugs

How to Read This omeprazole vs tolterodine Comparison

omeprazole is classified in the Proton Pump Inhibitor (PPI) drug class, while tolterodine sits within the Anticholinergic (Overactive Bladder) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are split between OTC and prescription status, which affects access and supervision.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, omeprazole has 90,334 submissions while tolterodine has 1,738. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to tolterodine does not change how the body processes omeprazole, meaning they do not have a meaningful interaction.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between omeprazole and tolterodine - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.