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Drug interactions

Crizotinib + Sodium bicarbonate

Severity: Minor

Crizotinib and Sodium bicarbonate: 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

Raising gastric pH could reduce the solubility of crizotinib, which is more soluble in acidic conditions. A clinically meaningful effect has not been established and is likely small.

What this interaction means in plain words

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

Crizotinib belongs to Oncology; Sodium bicarbonate belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Increased gastric pH may reduce crizotinib dissolution and absorption.

What to do

Separating doses by a couple of hours is reasonable; no dose change is required.

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 Crizotinib with Sodium bicarbonate?

MediHelp rates the interaction as minor. Crizotinib and Sodium bicarbonate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Raising gastric pH could reduce the solubility of crizotinib, which is more soluble in acidic conditions. A clinically meaningful effect has not been established and is likely small.

How serious is the interaction between Crizotinib and Sodium bicarbonate?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separating doses by a couple of hours is reasonable; no dose change is required.

What other medicines interact with Crizotinib?

MediHelp also lists interactions of Crizotinib with, for example, Flibanserin, Lomitapide, Lonafarnib. The full list is on the Crizotinib page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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