What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:
- Bleeding disorders
- Child with chicken pox, the flu, or other viral infections
- Frequently drink alcohol
- History of stomach bleeding
- Kidney disease
- Liver disease
- Lung or breathing diease like asthma
- Lupus
- An unusual or allergic reaction to aspirin, omeprazole, other medications, foods, dyes, or preservatives
- Pregnant or trying to get pregnant
- Breast-feeding
What may interact with this medication?
Do not take this medication with any of the following:
- Certain antiretrovirals for HIV or AIDS, such as atazanavir, nelfinavir, rilpivirine
- Clopidogrel
- Rifampin
- St. John's wort
- Ticagrelor
- Voriconazole
This medication may also interact with the following:
- Acetazolamide
- Alcohol
- Certain medications for blood pressure called ACE inhibitors and beta blockers
- Certain medications for diabetes
- Certain medications that treat or prevent blood clots, such as heparin and warfarin
- Certain other antiretrovirals for HIV or AIDS
- Citalopram
- Cilostazol
- Cyclosporine
- Diazepam
- Digoxin
- Disulfiram
- Diuretics
- High dose methotrexate
- Mycophenolate
- NSAIDs, medications for pain and inflammation, such as ibuprofen or naproxen
- Phenytoin
- Probenecid
- Tacrolimus
- Valproic acid
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medication?
Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
Do not take aspirin or other NSAIDs, such as ibuprofen or naproxen, while you are taking this medication. Side effects, such as upset stomach, nausea, and ulcers, may be more likely to occur. Many over-the-counter medications contain aspirin, ibuprofen, or naproxen. It is important to read labels carefully. Talk to your care team about all the medications you take. They can tell you what is safe to take together.
This medication can cause serious bleeding, ulcers, or tears in the stomach. These problems can occur at any time and with no warning signs. They are more common with long-term use. Talk to your care team right away if you have stomach pain, bloody or black, tar-like stools, or vomit blood that is red or looks like coffee grounds.
This medication may cause serious skin reactions. They can happen weeks to months after starting the medication. Talk to your care team right away if you have fevers or flu-like symptoms with a rash. The rash may be red or purple and then turn into blisters or peeling of the skin. Or you might notice a red rash with swelling of the face, lips, or lymph nodes in your neck or under your arms.
This medication may affect your coordination, reaction time, or judgment. Do not drive or operate machinery until you know how this medication affects you. Sit up or stand slowly to reduce the risk of dizzy or fainting spells. Drinking alcohol with this medication can increase the risk of these side effects.
Be careful brushing or flossing your teeth or using a toothpick because you may get an infection or bleed more easily. If you have any dental work done, tell your dentist you are receiving this medication.
Make sure you get enough vitamin B12 while you are taking this medication. Discuss the foods you eat and the vitamins you take with your care team.
Talk to your care team if you may be pregnant. Taking this medication after 20 weeks of pregnancy may cause serious fetal side effects. Use of this medication after 30 weeks of pregnancy is not recommended.
This medication may cause infertility. It is usually temporary. Talk to your care team if you are concerned about your fertility.