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Drug interactions

Quinupristin / dalfopristin + Rabeprazole

Severity: Minor

Quinupristin / dalfopristin 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

Quinupristin/dalfopristin inhibits CYP3A4, but rabeprazole relies little on this pathway. A meaningful rise in rabeprazole exposure is not expected, and the drug is given intravenously for serious infections.

What this interaction means in plain words

Quinupristin / dalfopristin 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.

Evidence level: Low

Why it happens

CYP3A4 inhibition may slightly reduce the minor oxidative clearance of rabeprazole.

What to do

No dose adjustment is 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 Quinupristin / dalfopristin with Rabeprazole?

MediHelp rates the interaction as minor. Quinupristin / dalfopristin 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. Quinupristin/dalfopristin inhibits CYP3A4, but rabeprazole relies little on this pathway. A meaningful rise in rabeprazole exposure is not expected, and the drug is given intravenously for serious infections.

How serious is the interaction between Quinupristin / dalfopristin 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: No dose adjustment is 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.

Full monographs, dosing and an interaction checker in the MediHelp app

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