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What the FDA labels say about taking them together

Nilotinib and omeprazole

Omeprazole's FDA label of April 22, 2024 names nilotinib in its drug interactions section; nilotinib's label does not name omeprazole itself but warns about its class (Proton pump inhibitors (PPIs)). The omeprazole label: “Omeprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity.”

Check it at the source: the nilotinib FDA label on DailyMed (effective December 16, 2025, Novartis Pharmaceuticals Corporation); the omeprazole FDA label on DailyMed (effective April 22, 2024, Apotex Corp).

What does the nilotinib label say about omeprazole?

Nilotinib's label does not name omeprazole itself; it warns about its class (Proton pump inhibitors (PPIs)):

Nilotinib label, drug interactions

Avoid concomitant use with Tasigna. Use short-acting antacids or H2 blockers as an alternative to proton pump inhibitors.

Nilotinib label, drug interactions

Proton Pump Inhibitors Concomitant use with a proton pump inhibitor (PPI) decreased nilotinib concentrations compared to Tasigna alone [see Clinical Pharmacology (12.3)], which may reduce Tasigna efficacy.

Source: FDA drug label (Tasigna), Novartis Pharmaceuticals Corporation, effective December 16, 2025 (SPL set 6093952a-5248-45cb-ad17-33716a411146), via openFDA; the full label on DailyMed

What does the omeprazole label say about nilotinib?

Omeprazole label, drug interactions

Clinical Impact: Omeprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity. Intervention: Mycophenolate mofetil (MMF): Co-administration of omeprazole in healthy subjects and in transplant patients receiving MMF has been reported to reduce the exposure to the active metabolite, mycophenolic acid (MPA), possibly due to a decrease in MMF solubility at an increased gastric pH. …

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

6Nilotinib generic labelers
118Omeprazole generic labelers
NilotinibOmeprazole
Labeled forLeukemia, lymphoma and myelomaAcid reflux and ulcers
Boxed warningYesNo
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?