Proton Pump Inhibitors · Pharmacology

Why is there a potential drug interaction between Omeprazole and the antiplatelet drug Clopidogrel?

  1. Omeprazole increases the renal excretion of Clopidogrel
  2. Omeprazole inhibits CYP2C19, preventing the activation of Clopidogrel
  3. Clopidogrel prevents Omeprazole from binding to the proton pump
  4. Both drugs compete for the same receptor in the stomach
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Correct answer: Omeprazole inhibits CYP2C19, preventing the activation of Clopidogrel

Clopidogrel is a prodrug that must be activated by the enzyme CYP2C19. Omeprazole inhibits this enzyme, which may reduce the antiplatelet efficacy of clopidogrel and increase the risk of cardiovascular events.

Difficulty: Medium Question 9 of 20

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