Pantoprazole and Warfarin interaction

Pantoprazole and Warfarin: the Pantoprazole prescribing label describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Pantoprazole (Protonix I.V.) label · effective 2026-04-06

Moderate

Warfarin Clinical Impact: Increased INR and prothrombin time in patients receiving PPIs, including pantoprazole, and warfarin concomitantly.

Drug interactionsnames WarfarinView label on DailyMed
Moderate

Dose adjustment of warfarin may be needed to maintain target INR range.

Drug interactionsnames WarfarinView label on DailyMed
Minor

See prescribing information for warfarin.

Drug interactionsnames WarfarinView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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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.