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Drug interactions

Liothyronine + Rabeprazole

Severity: Minor

Liothyronine and Rabeprazole: 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 may reduce the absorption of oral thyroid hormone, though liothyronine is less dependent on gastric acid than levothyroxine. Data are conflicting and any change in thyroid function is usually small.

What this interaction means in plain words

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

Liothyronine belongs to Endocrine; Rabeprazole belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Increased gastric pH may modestly impair dissolution and absorption of oral thyroid hormone.

What to do

Check TSH when starting or stopping long-term rabeprazole and adjust the thyroid hormone 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 Liothyronine with Rabeprazole?

MediHelp rates the interaction as minor. Liothyronine and Rabeprazole 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 may reduce the absorption of oral thyroid hormone, though liothyronine is less dependent on gastric acid than levothyroxine. Data are conflicting and any change in thyroid function is usually small.

How serious is the interaction between Liothyronine and Rabeprazole?

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 when starting or stopping long-term rabeprazole and adjust the thyroid hormone dose if needed.

What other medicines interact with Rabeprazole?

MediHelp also lists interactions of Rabeprazole with, for example, Rilpivirine, Acalabrutinib, Atazanavir. The full list is on the Rabeprazole page.

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