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Drug interactions

Calcium carbonate + Dasatinib

Severity: Moderate

Calcium carbonate and Dasatinib: 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

Dasatinib solubility falls as gastric pH rises, so antacids can lower its absorption and potentially reduce efficacy. Simultaneous antacid dosing notably reduced exposure in studies.

What this interaction means in plain words

Calcium carbonate and Dasatinib 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.

Calcium carbonate belongs to Gastrointestinal Tract; Dasatinib belongs to Oncology.

Evidence level: High

Why it happens

Elevated gastric pH reduces dissolution of dasatinib, which has pH-dependent solubility.

What to do

Give the antacid at least 2 hours before or 2 hours after dasatinib. Prefer antacids over H2 blockers or proton pump inhibitors.

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 Calcium carbonate with Dasatinib?

MediHelp rates the interaction as moderate. Calcium carbonate and Dasatinib 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. Dasatinib solubility falls as gastric pH rises, so antacids can lower its absorption and potentially reduce efficacy. Simultaneous antacid dosing notably reduced exposure in studies.

How serious is the interaction between Calcium carbonate and Dasatinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give the antacid at least 2 hours before or 2 hours after dasatinib. Prefer antacids over H2 blockers or proton pump inhibitors.

What other medicines interact with Calcium carbonate?

MediHelp also lists interactions of Calcium carbonate with, for example, Acalabrutinib, Alendronate, Amlodipine-hydrochlorothiazide-valsartan. The full list is on the Calcium carbonate page.

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