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Drug interactions

Fostemsavir + Pantoprazole

Severity: Minor

Fostemsavir and Pantoprazole: 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

Fostemsavir's active moiety temsavir inhibits BCRP and may increase exposure to BCRP substrates such as pantoprazole. The expected increase is modest and rarely clinically important.

What this interaction means in plain words

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

Fostemsavir belongs to Anti Virals; Pantoprazole belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Temsavir inhibits the BCRP transporter, reducing pantoprazole efflux.

What to do

No routine adjustment is needed. Monitor for PPI adverse effects if used at high doses or long term.

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 Fostemsavir with Pantoprazole?

MediHelp rates the interaction as minor. Fostemsavir and Pantoprazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fostemsavir's active moiety temsavir inhibits BCRP and may increase exposure to BCRP substrates such as pantoprazole. The expected increase is modest and rarely clinically important.

How serious is the interaction between Fostemsavir and Pantoprazole?

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. Monitor for PPI adverse effects if used at high doses or long term.

What other medicines interact with Pantoprazole?

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

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

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