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. Author manuscript; available in PMC: 2021 Nov 1.
Published in final edited form as: J Am Pharm Assoc (2003). 2020 Aug 25;60(6):e236–e245. doi: 10.1016/j.japh.2020.08.002
Over-the-counter
medication
Prescription medication
Angiotensin-converting
enzyme inhibitors or
angiotensin
receptor blockers
Nonsteroidal
anti-inflammatory
drugs
Loop
diuretics
P2Y12 platelet
antagonists
Antineoplastic
agents
Direct oral
anticoagulants
Aspirin 7 3 7 2 – –
Ibuprofen 22 9 4 2 1 –
Naproxen – 4a 3 – – 1
Omeprazole – – – 2 2b –
Esomeprazole – – – – – –
Lansoprazole – – – 1 – –
Total (n = 70) 29 16 14 7 3 1
a

Three of these 4 cases were a class D interaction (naproxen with aspirin). The additional case was a class C interaction (naproxen with ibuprofen).

b

One of these 2 cases was a class D interaction (omeprazole with tacrolimus). The other case was a class C interaction (omeprazole with cyclosporine).