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Drug interactions

Famotidine + Nelfinavir

Severity: Moderate

Famotidine and Nelfinavir: 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

Nelfinavir needs acid for good absorption, so famotidine may decrease its levels. This may lessen antiviral effect.

What this interaction means in plain words

Famotidine and Nelfinavir 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.

Famotidine belongs to Gastrointestinal Tract; Nelfinavir belongs to Anti Virals.

Evidence level: Low

Why it happens

Raised gastric pH reduces nelfinavir absorption.

What to do

Monitor HIV viral load and consider timing nelfinavir apart from the H2 blocker. Take nelfinavir with food.

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 Famotidine with Nelfinavir?

MediHelp rates the interaction as moderate. Famotidine and Nelfinavir 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. Nelfinavir needs acid for good absorption, so famotidine may decrease its levels. This may lessen antiviral effect.

How serious is the interaction between Famotidine and Nelfinavir?

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 HIV viral load and consider timing nelfinavir apart from the H2 blocker. Take nelfinavir with food.

What other medicines interact with Famotidine?

MediHelp also lists interactions of Famotidine with, for example, Atazanavir, Dasatinib, Infigratinib. The full list is on the Famotidine page.

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