Drug interactions
Bosutinib + Nizatidine
Severity: Moderate
Bosutinib and Nizatidine: 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
Bosutinib solubility falls as gastric pH rises, so acid-reducing agents can lower its absorption. This may reduce efficacy in leukemia treatment.
What this interaction means in plain words
Bosutinib and Nizatidine 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.
Bosutinib belongs to Oncology; Nizatidine belongs to Gastrointestinal Tract.
Why it happens
Nizatidine increases gastric pH, reducing pH-dependent dissolution and absorption of bosutinib.
What to do
Consider short-acting antacids separated from bosutinib by at least 2 hours, or an alternative to the H2 blocker.
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?
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Other interactions of Nizatidine
- Atazanavir + Nizatidine Major
- Dasatinib + Nizatidine Major
- Erlotinib + Nizatidine Major
- Itraconazole + Nizatidine Major
- Ketoconazole + Nizatidine Major
- Nizatidine + Pazopanib Major
Other interactions of Bosutinib
- Amiodarone + Bosutinib Major
- Apalutamide + Bosutinib Major
- Aprepitant + Bosutinib Major
- Bosentan + Bosutinib Major
- Bosutinib + Carbamazepine Major
- Bosutinib + Chlorpromazine Major
Frequently asked questions
Can I take Bosutinib with Nizatidine?
MediHelp rates the interaction as moderate. Bosutinib and Nizatidine 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. Bosutinib solubility falls as gastric pH rises, so acid-reducing agents can lower its absorption. This may reduce efficacy in leukemia treatment.
How serious is the interaction between Bosutinib and Nizatidine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider short-acting antacids separated from bosutinib by at least 2 hours, or an alternative to the H2 blocker.
What other medicines interact with Nizatidine?
MediHelp also lists interactions of Nizatidine with, for example, Atazanavir, Dasatinib, Erlotinib. The full list is on the Nizatidine page.
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