Interaction databaseSupplement × PrescriptionReviewed May 2026

Omeprazole and Zinc Carnosine, a synergy.

Zinc-L-carnosine (polaprezinc) is a mucosal-protective chelate widely used in Japan for gastritis and ulcer healing. It is well studied as an adjunct to acid suppression and to H. pylori eradication therapy, with evidence for faster ulcer healing and improved gastric mucosal repair. It complements rather than competes with omeprazole.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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From the interaction database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Omeprazole and Zinc Carnosine
Pair type
Synergy
Evidence (highest tier)
Moderate
Source citations
1 source
Stack Score effect
+2 to your Stack Score (per scored synergy row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Synergy · Moderate evidence

Synergy

What is happening. Zinc-L-carnosine (polaprezinc) is a mucosal-protective chelate widely used in Japan for gastritis and ulcer healing. It is well studied as an adjunct to acid suppression and to H. pylori eradication therapy, with evidence for faster ulcer healing and improved gastric mucosal repair. It complements rather than competes with omeprazole.

Mechanism. Zinc-L-carnosine adheres to ulcer beds, scavenges reactive oxygen species, stabilizes mast cells, and promotes mucosal epithelial repair. These effects are mechanistically additive to omeprazole's acid suppression.

Recommendation. If you have gastritis, an ulcer, or NSAID-related GI symptoms on omeprazole, ask your prescriber about adding zinc-L-carnosine 75 mg twice daily. The combination is well tolerated for short courses (4-8 weeks).

Sources (1)
  1. Efthymakis K, Neri M. The role of Zinc L-Carnosine in the prevention and treatment of gastrointestinal mucosal disease in humans: a review. Clin Res Hepatol Gastroenterol. 2022;46(7):101954. PMID 35659631

Stack Score

How this pair moves the number.

Effect on the composite score

If both Omeprazole and Zinc Carnosine are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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