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What the FDA labels say about taking them together

Disulfiram and omeprazole

Omeprazole's FDA label of April 22, 2024 names disulfiram in its drug interactions section; the disulfiram label PlainMeds reads does not name omeprazole.

Check it at the source: the disulfiram FDA label on DailyMed (effective August 20, 2024, Sigmapharm Laboratories, LLC); the omeprazole FDA label on DailyMed (effective April 22, 2024, Apotex Corp).

What does the disulfiram label say about omeprazole?

Disulfiram's label (effective August 20, 2024) does not name omeprazole in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Disulfiram), Sigmapharm Laboratories, LLC, effective August 20, 2024 (SPL set 40f5497f-fe84-43b2-8ff4-32d59edf3917), via openFDA; the full label on DailyMed

What does the omeprazole label say about disulfiram?

Omeprazole label, drug interactions

Clinical Impact: There have been clinical reports of interactions with other drugs metabolized via the cytochrome P450 system (…). Intervention: Monitor patients to determine if it is necessary to adjust the dosage of these other drugs when taken concomitantly with omeprazole. Clinically Relevant Interactions Affecting Omeprazole When Co-Administered with Other Drugs CYP2C19 or CYP3A4 Inducers

Source: FDA drug label (Prilosec, NDA022056), Covis Pharma US, Inc, effective March 19, 2024 (SPL set b6761f84-53ac-4745-a8c8-1e5427d7e179), via openFDA

Source: FDA drug label (Omeprazole), Apotex Corp, effective April 22, 2024 (SPL set b83329ac-a65e-b3af-a3fb-c5a6c740e5e7), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

5Disulfiram generic labelers
118Omeprazole generic labelers
DisulfiramOmeprazole
Labeled forAlcohol use disorderAcid reflux and ulcers
Boxed warningYesNo
Pharmacy cost (NADAC)$1.82 per tablet 250 mg tablet$0.0295 per capsule 20 mg capsule
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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