Can I take Lansoprazole and Clopidogrel together?
Drug interaction guide
Originally published 25 Jan 2026
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Lansoprazole may make clopidogrel less effective at preventing blood clots. This could potentially increase your risk of having a heart attack or stroke while taking both medicines together.
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Why this happens
Clopidogrel needs to be changed into its active form by an enzyme in the liver (called CYP2C19) to work properly. Lansoprazole can interfere with this enzyme, meaning less of the clopidogrel is converted into its active 'blood-thinning' form.
What you should do
You should speak to your doctor or pharmacist before taking these together. They may suggest an alternative stomach acid medicine, such as pantoprazole or famotidine, which are less likely to interfere with clopidogrel. Do not stop taking your prescribed medication without medical advice.
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Important precautions
Drug Interaction
Lansoprazole can make clopidogrel less effective, increasing your risk of a heart attack or stroke. Your doctor may suggest a different stomach medicine, such as famotidine, instead.
Bleeding Risk
You must tell any surgeon or dentist that you are taking clopidogrel before any procedure is planned, as it increases the risk of serious bleeding and may need to be stopped 7 days in advance.
Food and drink warnings
Grapefruit juice
Avoid drinking large amounts of grapefruit juice. Grapefruit contains compounds that can reduce the effectiveness of clopidogrel, potentially making it less effective at preventing blood clots.
Alcool
While alcohol does not directly interact with lansoprazole, it is best to limit or avoid it. Alcohol can increase stomach acid production and irritate the digestive system, which may worsen the symptoms your medicine is trying to treat.
Caffeine (Coffee, Tea, Cola)
Caffeine can trigger or worsen symptoms of acid reflux and stomach ulcers. If you are taking lansoprazole for these conditions, reducing your caffeine intake may help the medicine work more effectively.
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Using other medicines
Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Clause de non-responsabilité
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
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Historique de l'article
Les informations contenues dans cette page sont rédigées et évaluées par des cliniciens qualifiés.
25 janvier 2026 | Publié à l'origine

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