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Drug interactions

Elagolix + Esomeprazole

Severity: Minor

Elagolix and Esomeprazole: 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

Elagolix weakly inhibits CYP2C19 and induces CYP3A4, which may alter esomeprazole exposure. The net clinical effect is expected to be small.

What this interaction means in plain words

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

Elagolix belongs to Musculoskeletal; Esomeprazole belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Elagolix is a weak CYP2C19 inhibitor and a weak-to-moderate CYP3A4 inducer.

What to do

No routine adjustment is needed; reassess esomeprazole dosing if symptom control changes.

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 Elagolix with Esomeprazole?

MediHelp rates the interaction as minor. Elagolix and Esomeprazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Elagolix weakly inhibits CYP2C19 and induces CYP3A4, which may alter esomeprazole exposure. The net clinical effect is expected to be small.

How serious is the interaction between Elagolix and Esomeprazole?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed; reassess esomeprazole dosing if symptom control changes.

What other medicines interact with Esomeprazole?

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

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

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