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Drug interactions

Isoniazid + Lansoprazole

Severity: Minor

Isoniazid and Lansoprazole: 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

Isoniazid inhibits CYP2C19 and may raise lansoprazole exposure modestly. Lansoprazole has a wide safety margin, so the clinical effect is usually small.

What this interaction means in plain words

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

Isoniazid belongs to Anti Bacterial; Lansoprazole belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Isoniazid inhibits CYP2C19-mediated metabolism of lansoprazole.

What to do

No dose adjustment is usually needed; watch for increased PPI adverse effects such as headache or diarrhea during prolonged co-therapy.

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 Isoniazid with Lansoprazole?

MediHelp rates the interaction as minor. Isoniazid and Lansoprazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Isoniazid inhibits CYP2C19 and may raise lansoprazole exposure modestly. Lansoprazole has a wide safety margin, so the clinical effect is usually small.

How serious is the interaction between Isoniazid and Lansoprazole?

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 dose adjustment is usually needed; watch for increased PPI adverse effects such as headache or diarrhea during prolonged co-therapy.

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.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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