 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  Effects section). During pregnancy, this product should be used only when clearly needed. Discuss the risks and benefits with your doctor. Amoxicillin, clarithromycin, and omeprazole pass into breast milk. Consult your doctor before breast-feeding.The interactions of Omeprazole-Clarithromycin-Amoxicillin Oral: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: clopidogrel, mavacamten, methotrexate (especially high-dose treatment), St John's wort. Many drugs besides clarithromycin may affect the heart rhythm (QT prolongation), including amiodarone, disopyramide, dofetilide, pacritinib, pimozide, procainamide, quinidine, sotalol, among others. Other medications can affect the removal of clarithromycin </s>