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Drug interactions

Lansoprazole + Pazopanib

Severity: Major

Lansoprazole and Pazopanib: 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

PPIs can reduce pazopanib absorption because its solubility depends on gastric acidity, which may lower anticancer efficacy.

What this interaction means in plain words

Lansoprazole and Pazopanib 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.

Lansoprazole belongs to Gastrointestinal Tract; Pazopanib belongs to Oncology.

Evidence level: Moderate

Why it happens

Raised gastric pH reduces pazopanib solubility and absorption.

What to do

Avoid PPIs where possible. If acid suppression is essential, use a short-acting antacid separated from pazopanib by several hours.

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 Lansoprazole with Pazopanib?

MediHelp rates the interaction as major. Lansoprazole and Pazopanib 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. PPIs can reduce pazopanib absorption because its solubility depends on gastric acidity, which may lower anticancer efficacy.

How serious is the interaction between Lansoprazole and Pazopanib?

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 PPIs where possible. If acid suppression is essential, use a short-acting antacid separated from pazopanib by several hours.

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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