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What the FDA labels say about taking them together

Omeprazole and phenytoin

Omeprazole's FDA label of April 22, 2024 names phenytoin in its drug interactions section, and phenytoin's label names omeprazole too. The omeprazole label: “Potential for increased exposure of phenytoin.”

Check it at the source: the omeprazole FDA label on DailyMed (effective April 22, 2024, Apotex Corp); the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.).

What does the omeprazole label say about phenytoin?

Omeprazole label, drug interactions

Phenytoin Clinical Impact: Potential for increased exposure of phenytoin. Intervention: Monitor phenytoin serum concentrations. Dose adjustment may be needed to maintain therapeutic drug concentrations. See prescribing information for phenytoin.

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

What does the phenytoin label say about omeprazole?

Phenytoin label, drug interactions

Interacting Agent: Gastric acid reducing agents; Examples: H 2 antagonists (cimetidine), omeprazole

Source: FDA drug label (Phenytek), Mylan Pharmaceuticals Inc., effective October 15, 2024 (SPL set 0f94c791-8b07-4b41-927e-c9f28bec5f60), 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

118Omeprazole generic labelers
29Phenytoin generic labelers
OmeprazolePhenytoin
Labeled forAcid reflux and ulcersSeizures and epilepsy
Boxed warningNoNo
Pharmacy cost (NADAC)$0.0295 per capsule 20 mg capsule$0.145 per capsule 100 mg capsule
Shortage nowA presentation being discontinuedNo current entry

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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