{"id":607,"date":"2009-11-18T14:44:06","date_gmt":"2009-11-18T20:44:06","guid":{"rendered":"http:\/\/royceeddington.com\/?p=607"},"modified":"2009-11-18T20:19:11","modified_gmt":"2009-11-19T02:19:11","slug":"fda-warning-dont-take-plavix-and-prilosecprilosec-otc-together","status":"publish","type":"post","link":"https:\/\/royceeddington.com\/?p=607","title":{"rendered":"FDA Warning : Don&#8217;t take Plavix and Prilosec\/Prilosec OTC together"},"content":{"rendered":"<p>This is pretty serious. The FDA just announced that there is a big problem If you take the anti-clotting drug Plavix in addition to the stomach acid reducer Prilosec. It turns out that Prilosec cuts the effectiveness of Plavix by half. For people with blood clotting problems, that&#8217;s really bad.<\/p>\n<p>The official announcement says&#8230; &#8220;patients at risk for heart attacks or strokes who use Plavix to prevent platelet aggregation will not get the full effect of this medicine if they are also taking Prilosec.\u201d<\/p>\n<p>The science behind it is pretty straightforward. &#8220;Plavix does not have anti-clotting effects until it is converted or metabolized into its active form with the help of the liver enzyme, CYP2C19. Prilosec blocks this enzyme, thereby reducing the effectiveness of Plavix.&#8221;<\/p>\n<p>But it&#8217;s not just Prilosec that causes problems with Plavix. Others on the hit list are&#8230; &#8220;Nexium (esomeprazole), Tagamet and Tagamet HB (cimetidine), Diflucan (fluconazole), Nizoral (ketoconazole), VFEND (voriconazole), Intelence (etravirine), Felbatol (felbamate), Prozac, Serafem, Symbyax (fluoxetine), Luvox (fluvoxamine) and Ticlid (ticlopidine).&#8221;<\/p>\n<p>The good news is that &#8230; &#8220;Zantac (ranitidine), Pepcid (famotidine), Axid (nizatidine), and antacids [that] do not inhibit the CYP2C19 enzyme <strong>aren\u2019t<\/strong> expected to interfere with the anti-clotting activity of Plavix.&#8221;<\/p>\n<p><a href=\"http:\/\/www.fda.gov\/NewsEvents\/Newsroom\/PressAnnouncements\/ucm191169.htm\" target=\"_self\">Here&#8217;s the link to the official FDA warning here.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This is pretty serious. The FDA just announced that there is a big problem If you take the anti-clotting drug Plavix in addition to the stomach acid reducer Prilosec. It turns out that Prilosec cuts the effectiveness of Plavix by &hellip; <a href=\"https:\/\/royceeddington.com\/?p=607\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[12],"tags":[],"class_list":["post-607","post","type-post","status-publish","format-standard","hentry","category-recalls"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p6Pfyw-9N","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/royceeddington.com\/index.php?rest_route=\/wp\/v2\/posts\/607","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/royceeddington.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/royceeddington.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/royceeddington.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/royceeddington.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=607"}],"version-history":[{"count":2,"href":"https:\/\/royceeddington.com\/index.php?rest_route=\/wp\/v2\/posts\/607\/revisions"}],"predecessor-version":[{"id":617,"href":"https:\/\/royceeddington.com\/index.php?rest_route=\/wp\/v2\/posts\/607\/revisions\/617"}],"wp:attachment":[{"href":"https:\/\/royceeddington.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=607"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/royceeddington.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=607"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/royceeddington.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}