Skip to content

Drug interactions

Lansoprazole + Liotrix

Severity: Moderate

Lansoprazole and Liotrix: moderate 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

Lansoprazole may reduce absorption of the levothyroxine component of liotrix by raising gastric pH. Reports are conflicting, but some patients on long-term therapy need higher thyroid hormone doses.

What this interaction means in plain words

Lansoprazole and Liotrix can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Reduced gastric acidity may impair dissolution and absorption of oral thyroid hormone.

What to do

Monitor TSH and free T4 six to eight weeks after starting or stopping lansoprazole and adjust the liotrix dose as needed.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Lansoprazole and Liotrix, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 14 days on the web. No card needed.

Frequently asked questions

Can I take Lansoprazole with Liotrix?

MediHelp rates the interaction as moderate. Lansoprazole and Liotrix can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Lansoprazole may reduce absorption of the levothyroxine component of liotrix by raising gastric pH. Reports are conflicting, but some patients on long-term therapy need higher thyroid hormone doses.

How serious is the interaction between Lansoprazole and Liotrix?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor TSH and free T4 six to eight weeks after starting or stopping lansoprazole and adjust the liotrix dose as 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

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

Browse A–Z · Drug interactions

Get the app Sign in