Drospirenone/Ethinyl Estradiol and Omeprazole Interaction
Drug interaction information between Drospirenone/Ethinyl Estradiol and Omeprazole.
Drospirenone/Ethinyl Estradiol and Omeprazole have a documented minor interaction in FDA labeling.
FDA drug labeling documents a minor-severity interaction between Drospirenone/Ethinyl Estradiol and Omeprazole. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.
How They Interact
The birth control pill slows down how your body breaks down omeprazole. This can cause the level of omeprazole in your blood to rise slightly.
What To Do
Your doctor may need to monitor you for side effects or adjust your dose of omeprazole.
FDA Label Information
COCs Increasing the Plasma Concentrations of CYP450 Enzymes In clinical studies, administration of a hormonal contraceptive containing EE did not lead to any increase or only to a weak increase in plasma concentrations of CYP3A4 substrates (e.g., midazolam) while plasma concentrations of CYP2C19 substrates (e.g., omeprazole and voriconazole) and CYP1A2 substrates (e.g., theophylline and tizanidine) can have a weak or moderate increase.
Drospirenone/Ethinyl Estradiol Also Interacts With
- Estradiol major
- Atorvastatin minor
- Lamotrigine minor
- Topiramate minor
- Tizanidine minor
Omeprazole Also Interacts With
- Theophylline major
- Clarithromycin moderate
- Clopidogrel moderate
- Darunavir moderate
- Tacrolimus Topical moderate
Frequently Asked Questions
Can I take Drospirenone/Ethinyl Estradiol and Omeprazole together?
This is a minor interaction. Your doctor may need to monitor you for side effects or adjust your dose of omeprazole.
How serious is the interaction between Drospirenone/Ethinyl Estradiol and Omeprazole?
This interaction is classified as "minor" severity by the FDA. Minor interactions are unlikely to cause significant problems but should still be mentioned to your healthcare provider.
Why do Drospirenone/Ethinyl Estradiol and Omeprazole interact?
The birth control pill slows down how your body breaks down omeprazole. This can cause the level of omeprazole in your blood to rise slightly.
Understanding the Drospirenone/Ethinyl Estradiol and Omeprazole Interaction
FDA-approved prescribing information for these two drugs flags their combination as a minor-severity interaction. Drospirenone/Ethinyl Estradiol belongs to the Combined Oral Contraceptive class and Omeprazole belongs to the Proton Pump Inhibitor (PPI) class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: The birth control pill slows down how your body breaks down omeprazole. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.
Context around a specific patient determines real-world impact. Drospirenone/Ethinyl Estradiol has 30 total documented interactions on file in this dataset, and Omeprazole has 27. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Your doctor may need to monitor you for side effects or adjust your dose of omeprazole. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.
An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Drospirenone/Ethinyl Estradiol or Omeprazole based on a web page, speak with your prescriber or pharmacist before making any change.
Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.
Read our methodology - how this data is sourced, computed, and verified.