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Drug interactions

Lansoprazole + Liothyronine

Severity: Minor

Lansoprazole and Liothyronine: 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

Acid suppression with lansoprazole may modestly reduce absorption of oral thyroid hormone, although liothyronine is generally less dependent on gastric acid than levothyroxine. Evidence is inconsistent, but thyroid control could drift in some patients.

What this interaction means in plain words

Lansoprazole and Liothyronine 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; Liothyronine belongs to Endocrine.

Evidence level: Low

Why it happens

Raised gastric pH may reduce dissolution and absorption of oral thyroid hormone.

What to do

Check TSH and clinical thyroid status after starting or stopping lansoprazole, and adjust the liothyronine dose if needed.

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 Liothyronine?

MediHelp rates the interaction as minor. Lansoprazole and Liothyronine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Acid suppression with lansoprazole may modestly reduce absorption of oral thyroid hormone, although liothyronine is generally less dependent on gastric acid than levothyroxine. Evidence is inconsistent, but thyroid control could drift in some patients.

How serious is the interaction between Lansoprazole and Liothyronine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check TSH and clinical thyroid status after starting or stopping lansoprazole, and adjust the liothyronine dose if needed.

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

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