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Drug interactions

Infigratinib + Rabeprazole

Severity: Major

Infigratinib and Rabeprazole: major 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

Infigratinib absorption depends on an acidic gastric environment, and rabeprazole raises gastric pH for a prolonged period. This can reduce infigratinib exposure and may compromise its antitumor efficacy.

What this interaction means in plain words

Infigratinib and Rabeprazole can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Moderate

Why it happens

Higher gastric pH reduces the pH-dependent solubility and absorption of oral infigratinib.

What to do

Avoid proton pump inhibitors during infigratinib therapy. If acid suppression is needed, use a locally acting antacid and separate it from infigratinib by the interval stated in the labeling.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Infigratinib with Rabeprazole?

MediHelp rates the interaction as major. Infigratinib and Rabeprazole can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Infigratinib absorption depends on an acidic gastric environment, and rabeprazole raises gastric pH for a prolonged period. This can reduce infigratinib exposure and may compromise its antitumor efficacy.

How serious is the interaction between Infigratinib and Rabeprazole?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid proton pump inhibitors during infigratinib therapy. If acid suppression is needed, use a locally acting antacid and separate it from infigratinib by the interval stated in the labeling.

What other medicines interact with Rabeprazole?

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

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