Patients who have a known hypersensitivity to omeprazole domperidone or any of the inactive ingredients in Omikas D should avoid its use as it is considered to be harmful in such cases It is important to exercise caution when using this medication in individuals with underlying kidney or liver disease Taking into account these conditions will help ensure the safety and wellbeing of patients Allergies to the active ingredients or other components present in the medication can lead to adverse reactions warranting the avoidance of Omikas D in such circumstances Furthermore patients with kidney or liver disease may have impaired organ function and the use of Omikas D may exacerbate these conditions Therefore it is crucial to be mindful of the potential risks and benefits before using this medication in individuals with underlying kidney or liver disease By considering these factors healthcare professionals can provide the appropriate guidance and recommendations to their patients promoting their overall health and safety