reference:
Friday, December 11, 2009
Clopidogrel + Omeprazole = ???
Omeprazole inhibits CYP2C19 which "reduces the pharmacological activity of [clopidogrel] if given concomitantly or if given 12 hours apart.".
Following drugs chould not be used in combination with clopidogrel:-
esomeprazole,
cimetidine,
fluconazole,
ketoconazole,
voriconazole,
etravirine,
felbamate,
fluoxetine,
fluvoxamine, and
ticlopidine.
FDA suggested that patients who need an acid reducer should switch to "antacids (such as Maalox or Mylanta) and most acid reducers, such as Zantac (ranitidine), Pepcid (famotidine), or Axid (nizatidine).
reference:
Government to subsidise treatment at private clinics
Health Minister Datuk Seri Liow Tiong Lai says the public can soon seek medical treatment at private clinics without having to pay a hefty sum. The government is considering paying a portion of the bill under a proposed healthcare reform plan.
reference:
new millenium stethoscope
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