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Drug interactions

Famotidine + Pexidartinib

Severity: Moderate

Famotidine and Pexidartinib: 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

Acid-reducing agents lower the solubility of pexidartinib, so coadministration with famotidine is expected to reduce its absorption and exposure. Reduced exposure may diminish effectiveness in tenosynovial giant cell tumor.

What this interaction means in plain words

Famotidine and Pexidartinib 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; Pexidartinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Increased gastric pH decreases the pH-dependent solubility and absorption of pexidartinib.

What to do

Avoid proton pump inhibitors; if an H2 antagonist is needed, give pexidartinib at least 2 hours before or 10 hours after it. Monitor clinical response.

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 Pexidartinib?

MediHelp rates the interaction as moderate. Famotidine and Pexidartinib 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. Acid-reducing agents lower the solubility of pexidartinib, so coadministration with famotidine is expected to reduce its absorption and exposure. Reduced exposure may diminish effectiveness in tenosynovial giant cell tumor.

How serious is the interaction between Famotidine and Pexidartinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid proton pump inhibitors; if an H2 antagonist is needed, give pexidartinib at least 2 hours before or 10 hours after it. Monitor clinical response.

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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