Omeprazole and Risedronate interaction

Omeprazole and Risedronate: the Risedronate prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Risedronate (Risedronate Sodium) label · effective 2026-02-03

Major

Concomitant administration of Risedronate sodium delayed-release and H 2 blockers or PPIs is not recommended.

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Moderate

Co-administration of Risedronate sodium delayed-release with the PPI, esomeprazole, increased risedronate bioavailability.

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Minor

Calcium supplements, antacids, proton pump inhibitors (PPIs), H 2 blockers, magnesium-based supplements or laxatives, and iron preparations interfere with the absorption of Risedronate sodium delayed-release ( 7.1 , 7.2 )

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Minor

Histamine 2 (H 2 ) Blockers and Proton Pump Inhibitors (PPIs) Drugs that raise stomach pH (for example, PPIs or H 2 blockers) may cause faster drug release from enteric coated (delayed-release) drug products such as Risedronate sodium delayed-release.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.