Drug interactions
Dasatinib + Pantoprazole
Severity: Major
Dasatinib and Pantoprazole: major 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 absorption depends on an acidic stomach, so a proton pump inhibitor can substantially reduce its exposure. This may compromise disease control.
What this interaction means in plain words
Dasatinib and Pantoprazole can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Dasatinib belongs to Oncology; Pantoprazole belongs to Gastrointestinal Tract.
Why it happens
Elevated gastric pH reduces dasatinib solubility and absorption.
What to do
Avoid PPIs; use an antacid given about 2 hours before or after dasatinib, or an H2 antagonist given at least 2 hours after dasatinib if acid suppression is needed.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Dasatinib
- Dasatinib + Saquinavir Contraindicated
- Dasatinib + Thioridazine Contraindicated
- Adagrasib + Dasatinib Major
- Amiodarone + Dasatinib Major
- Amisulpride + Dasatinib Major
- Amitriptyline + Dasatinib Major
Other interactions of Pantoprazole
- Pantoprazole + Rilpivirine Contraindicated
- Acalabrutinib + Pantoprazole Major
- Atazanavir + Pantoprazole Major
- Dacomitinib + Pantoprazole Major
- Erlotinib + Pantoprazole Major
- Gefitinib + Pantoprazole Major
Frequently asked questions
Can I take Dasatinib with Pantoprazole?
MediHelp rates the interaction as major. Dasatinib and Pantoprazole can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Dasatinib absorption depends on an acidic stomach, so a proton pump inhibitor can substantially reduce its exposure. This may compromise disease control.
How serious is the interaction between Dasatinib and Pantoprazole?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid PPIs; use an antacid given about 2 hours before or after dasatinib, or an H2 antagonist given at least 2 hours after dasatinib if acid suppression is needed.
What other medicines interact with Dasatinib?
MediHelp also lists interactions of Dasatinib with, for example, Saquinavir, Thioridazine, Adagrasib. The full list is on the Dasatinib page.
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