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Drug interactions

Dexlansoprazole + Vismodegib

Severity: Moderate

Dexlansoprazole and Vismodegib: 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

Vismodegib has pH-dependent solubility, and acid-suppressing drugs may lower its absorption. The effect on efficacy is not established, but reduced exposure could weaken tumor control.

What this interaction means in plain words

Dexlansoprazole and Vismodegib 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.

Dexlansoprazole belongs to Gastrointestinal Tract; Vismodegib belongs to Oncology.

Evidence level: Low

Why it happens

Higher gastric pH decreases vismodegib solubility and bioavailability.

What to do

Monitor for treatment response; consider avoiding long-term PPI use if an alternative approach to acid suppression is feasible.

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 Dexlansoprazole with Vismodegib?

MediHelp rates the interaction as moderate. Dexlansoprazole and Vismodegib 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. Vismodegib has pH-dependent solubility, and acid-suppressing drugs may lower its absorption. The effect on efficacy is not established, but reduced exposure could weaken tumor control.

How serious is the interaction between Dexlansoprazole and Vismodegib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for treatment response; consider avoiding long-term PPI use if an alternative approach to acid suppression is feasible.

What other medicines interact with Dexlansoprazole?

MediHelp also lists interactions of Dexlansoprazole with, for example, Mavacamten, Rilpivirine, Acalabrutinib. The full list is on the Dexlansoprazole page.

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