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Clopidogrel and omeprazole — GPhC CRA MCQ

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ModerateDrug InteractionsClopidogrel and omeprazoleGPhC CRA

A patient taking clopidogrel after a stroke buys omeprazole for reflux every month. He asks for another pack. What is the most important interaction to flag?

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Correct answer: DOmeprazole can reduce activation of clopidogrel

Omeprazole inhibits CYP2C19, which contributes to clopidogrel activation. Alternatives such as lansoprazole may be preferred where a PPI is needed. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF