Biaxin (Clarithromycin Oral Suspension) and Zegerid (Omeprazole and Sodium Bicarbonate Powder Packets)
Determining the interaction of Biaxin (Clarithromycin Oral Suspension) and Zegerid (Omeprazole and Sodium Bicarbonate Powder Packets) and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.
Professional:Clarithromycin may increase and prolong the omeprazole plasma concentration. The mechanism may be related to clarithromycin inhibition of hepatic cytochrome P450 enzymes responsible for omeprazole metabolism. Coadministration of omeprazole may result in an increase in clarithromycin and 14-(R)-hydroxyclarithromycin plasma concentrations. These increases may be due to the effect of omeprazole on gastric pH.
- Gustavson LE, Kaiser JF, Edmonds AL, Locke CS, DeBartolo ML, Schneck DW "Effect of omeprazole on concentrations of clarithromycin in plasma and gastric tissue at steady state." Antimicrob Agents Chemother 39 (1995): 2078-83
- Zhou Q, Yamamoto I, Fukuda T, Ohno M, Sumida A, Azuma J "CYP2C19 genotypes and omeprazole metabolism after single and repeated dosing when combined with clarithromycin." Eur J Clin Pharmacol 55 (1999): 43-7
- Furuta T, Ohashi K, Kobayashi K, Iida I, Yoshida H, Shirai N, Takashima M, Kosuge K, Hanai H, Chiba K, Ishizaki T, Kaneko E "Effects of clarithromycin on the metabolism of omeprazole in relation to CYP2C19 genotype status in humans." Clin Pharmacol Ther 66 (1999): 265-74
Generic Name: clarithromycin
Brand name: Biaxin, Biaxin XL
Synonyms: Biaxin (Oral Suspension), Biaxin
Generic Name: omeprazole / sodium bicarbonate
Brand name: Zegerid, Zegerid OTC
Synonyms: Zegerid
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Biaxin (Clarithromycin Oral Suspension)-Zegerid OTC
- Biaxin (Clarithromycin Oral Suspension)-Zejula
- Biaxin (Clarithromycin Oral Suspension)-Zelapar
- Biaxin (Clarithromycin Oral Suspension)-Zelapar Oral
- Biaxin (Clarithromycin Oral Suspension)-Zelboraf
- Biaxin (Clarithromycin Oral Suspension)-Zelnorm
- Zegerid (Omeprazole and Sodium Bicarbonate Powder Packets)-Biaxin (Clarithromycin Tablets)
- Zegerid (Omeprazole and Sodium Bicarbonate Powder Packets)-Biaxin Filmtab
- Zegerid (Omeprazole and Sodium Bicarbonate Powder Packets)-Biaxin XL
- Zegerid (Omeprazole and Sodium Bicarbonate Powder Packets)-Bicalutamide
- Zegerid (Omeprazole and Sodium Bicarbonate Powder Packets)-Bicarsim
- Zegerid (Omeprazole and Sodium Bicarbonate Powder Packets)-Bicarsim Forte