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[Omeprazole and liver functions].

P Sauvet1, L Schouler

  • 1Département d'Hépato-gastro-entérologie, Hôpital du Haut-Levêque, Bordeaux-Pessac.

La Revue De Medecine Interne
|September 1, 1992
PubMed
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Omeprazole, a proton pump blocker, effectively reduces stomach acid for short-term use. While generally safe, it interacts with liver enzymes, necessitating caution with other medications metabolized similarly.

Area of Science:

  • Pharmacology
  • Hepatology

Background:

  • Omeprazole is a novel proton pump blocker approved for acid-related disorders.
  • It exhibits high efficacy in inhibiting gastric acid secretion.

Purpose of the Study:

  • To evaluate the safety profile of omeprazole, particularly regarding hepatotoxicity and drug interactions.
  • To assess omeprazole's use in patients with chronic liver disease.

Main Methods:

  • Review of reported clinical data on omeprazole's effects.
  • Analysis of omeprazole's interaction with the cytochrome P-450 system in vitro and in vivo.
  • Assessment of pharmacokinetic changes in patients with liver disease.

Main Results:

  • Omeprazole can cause transient elevations in serum aminotransferase levels.

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  • It inhibits and induces cytochrome P-450 enzymes, affecting the metabolism of other drugs like diazepam and phenytoin.
  • Concerns regarding increased tumorigenic effects are considered unfounded based on current evidence.
  • Conclusions:

    • Omeprazole is generally well-tolerated with a low incidence of side effects.
    • Caution is advised when co-prescribing omeprazole with drugs metabolized by the same liver enzymes.
    • Postmarketing surveillance is recommended to monitor for potential drug interactions.