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Drug interactions

Aluminum hydroxide + Posaconazole

Severity: Minor

Aluminum hydroxide and Posaconazole: minor 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

Posaconazole oral suspension absorption depends on gastric acidity, and acid suppression lowers its exposure. Antacids have been reported to have little effect on the suspension, and delayed-release tablets are not meaningfully affected. Clinical significance is therefore low.

What this interaction means in plain words

Aluminum hydroxide and Posaconazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Aluminum hydroxide belongs to Gastrointestinal Tract; Posaconazole belongs to Anti Fungals.

Evidence level: Low

Why it happens

Higher gastric pH could reduce dissolution and absorption of posaconazole, mainly the oral suspension.

What to do

No routine dose change is needed. Prefer delayed-release tablets or take the suspension with food, and consider checking posaconazole levels if there is concern about exposure.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Posaconazole?

MediHelp rates the interaction as minor. Aluminum hydroxide and Posaconazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Posaconazole oral suspension absorption depends on gastric acidity, and acid suppression lowers its exposure. Antacids have been reported to have little effect on the suspension, and delayed-release tablets are not meaningfully affected. Clinical significance is therefore low.

How serious is the interaction between Aluminum hydroxide and Posaconazole?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine dose change is needed. Prefer delayed-release tablets or take the suspension with food, and consider checking posaconazole levels if there is concern about exposure.

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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