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Drug interactions

Ferrous gluconate + Lansoprazole

Severity: Moderate

Ferrous gluconate and Lansoprazole: 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

Non-heme oral iron absorption depends on gastric acid, so lansoprazole can reduce iron uptake. With long-term use this may reduce response to iron replacement.

What this interaction means in plain words

Ferrous gluconate and Lansoprazole 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.

Ferrous gluconate belongs to Miscellaneous; Lansoprazole belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Reduced gastric acid impairs solubilization and reduction of ferric to ferrous iron.

What to do

Monitor hemoglobin and ferritin, and consider a higher iron dose, alternate-day dosing, or IV iron if response is poor.

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 Ferrous gluconate with Lansoprazole?

MediHelp rates the interaction as moderate. Ferrous gluconate and Lansoprazole 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. Non-heme oral iron absorption depends on gastric acid, so lansoprazole can reduce iron uptake. With long-term use this may reduce response to iron replacement.

How serious is the interaction between Ferrous gluconate and Lansoprazole?

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 hemoglobin and ferritin, and consider a higher iron dose, alternate-day dosing, or IV iron if response is poor.

What other medicines interact with Lansoprazole?

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

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