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What the FDA labels say about taking them together

Letermovir and omeprazole

Letermovir's FDA label of January 14, 2026 names omeprazole in its drug interactions section; the omeprazole labels PlainMeds reads (2) do not name letermovir. The letermovir label: “Clinical monitoring and dose adjustment may be needed.”

Check it at the source: the letermovir FDA label on DailyMed (effective January 14, 2026, Merck Sharp & Dohme LLC); the omeprazole FDA label on DailyMed (effective April 22, 2024, Apotex Corp).

What does the letermovir label say about omeprazole?

Letermovir label, drug interactions

Concomitant Drug Class and/or Clearance Pathway/Drug Name: omeprazole; Effect on Concentration ↓ =decrease, ↑ =increase: ↓ omeprazole; Clinical Comments: Clinical monitoring and dose adjustment may be needed.

Source: FDA drug label (PREVYMIS), Merck Sharp & Dohme LLC, effective January 14, 2026 (SPL set 1b49df80-be4f-47e0-a0b7-123f3e69395b), via openFDA; the full label on DailyMed

What does the omeprazole label say about letermovir?

Omeprazole's label (effective April 22, 2024) and its 1 other brand-application label do not name letermovir in these sections. A label lists what its studies and reports found; it is not a complete list.

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

0Letermovir generic labelers
118Omeprazole generic labelers
LetermovirOmeprazole
Labeled forn/aAcid reflux and ulcers
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$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)

What next?