Clopidogrel and omeprazole — GPhC CRA MCQ
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Correct answer: E — Omeprazole may reduce activation and antiplatelet effect of clopidogrel
Omeprazole can inhibit CYP2C19 and may reduce conversion of clopidogrel to its active metabolite. If gastroprotection is needed, an alternative PPI with lower interaction concern is usually preferred. The recent ACS history makes antiplatelet effectiveness clinically important.
Reference: BNF; NICE CKS