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Drug interactions

Lansoprazole + Letermovir

Severity: Minor

Lansoprazole and Letermovir: 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

Letermovir may change the metabolism of CYP2C19 and CYP2C9 substrates, and the legacy mechanism is not well supported. Any effect on lansoprazole is uncertain and probably small.

What this interaction means in plain words

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

Lansoprazole belongs to Gastrointestinal Tract; Letermovir belongs to Anti Virals.

Evidence level: Low

Why it happens

Letermovir induces CYP2C19 and inhibits CYP3A4 modestly; the net effect on lansoprazole is not well established.

What to do

No routine dose change is needed; monitor acid-suppression response.

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 Lansoprazole with Letermovir?

MediHelp rates the interaction as minor. Lansoprazole and Letermovir have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Letermovir may change the metabolism of CYP2C19 and CYP2C9 substrates, and the legacy mechanism is not well supported. Any effect on lansoprazole is uncertain and probably small.

How serious is the interaction between Lansoprazole and Letermovir?

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 dose change is needed; monitor acid-suppression response.

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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