Can I take Omeprazole and Tramadol together?
Drug interaction guide
Originally published 14 Mar 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
Omeprazole may slightly reduce the effectiveness of tramadol in some people, meaning you might not get as much pain relief as expected. There is also a very small risk of increased side effects like drowsiness or confusion.
In this article:
Video picks for Drug interactions
Continue reading below
Why this happens
Tramadol needs to be broken down by a specific enzyme in the liver (called CYP2D6) to turn into its most active, pain-killing form. Omeprazole can mildly interfere with this process. Additionally, both drugs can occasionally affect serotonin levels, though this is rare at standard doses.
What you should do
Back to contentsYou can usually take these two medicines together. However, if you find that your pain is not being controlled as well as usual, or if you feel unusually sleepy or dizzy, speak to your doctor or pharmacist. Do not change your dose without medical advice.
Continue reading below
Using other medicines
Back to contentsTaking 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.
Disclaimer
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.
Patient picks for Drug interactions

Treatment and medication
Can I take Acetaminophen and Levocetirizine together?
Taking paracetamol (acetaminophen) and levocetirizine together is generally considered safe. There are no known major interactions between these two medicines. However, both can occasionally cause drowsiness or tiredness in some people. If you experience these side effects, they may be slightly more noticeable when taking both medicines at the same time.

Treatment and medication
Can I take Ashwagandha and Vitamin d2 together?
There are no known significant interactions between ashwagandha and vitamin D2 (ergocalciferol). It is generally considered safe to take these two supplements together.
Continue reading below
Article history
The information on this page is written and peer reviewed by qualified clinicians.
14 Mar 2026 | Originally published

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.