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Drug interactions

Aluminum hydroxide + Cabotegravir

Severity: Moderate

Aluminum hydroxide and Cabotegravir: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Aluminum antacids can reduce the absorption of oral cabotegravir by binding it in the gut. Lower concentrations could weaken virologic control.

What this interaction means in plain words

Aluminum hydroxide and Cabotegravir can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Aluminum hydroxide belongs to Gastrointestinal Tract; Cabotegravir belongs to Anti Virals.

Evidence level: Moderate

Why it happens

Polyvalent aluminum cations chelate cabotegravir in the gastrointestinal tract, decreasing absorption.

What to do

Take oral cabotegravir at least 2 hours before or 4 hours after the antacid.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Aluminum hydroxide with Cabotegravir?

MediHelp rates the interaction as moderate. Aluminum hydroxide and Cabotegravir can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Aluminum antacids can reduce the absorption of oral cabotegravir by binding it in the gut. Lower concentrations could weaken virologic control.

How serious is the interaction between Aluminum hydroxide and Cabotegravir?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take oral cabotegravir at least 2 hours before or 4 hours after the antacid.

What other medicines interact with Aluminum hydroxide?

MediHelp also lists interactions of Aluminum hydroxide with, for example, Ciprofloxacin, Deferasirox, Dolutegravir. The full list is on the Aluminum hydroxide page.

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