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Drug interactions

Rabeprazole + Sparsentan

Severity: Moderate

Rabeprazole and Sparsentan: 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

Sparsentan exposure may fall with acid-reducing agents because its solubility is pH dependent. The clinical effect on proteinuria reduction is uncertain.

What this interaction means in plain words

Rabeprazole and Sparsentan 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.

Rabeprazole belongs to Gastrointestinal Tract; Sparsentan belongs to Genitourinary.

Evidence level: Low

Why it happens

Increased gastric pH may reduce sparsentan solubility and absorption.

What to do

Monitor proteinuria and blood pressure response, and consider whether acid suppression is needed at all.

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.

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Frequently asked questions

Can I take Rabeprazole with Sparsentan?

MediHelp rates the interaction as moderate. Rabeprazole and Sparsentan 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. Sparsentan exposure may fall with acid-reducing agents because its solubility is pH dependent. The clinical effect on proteinuria reduction is uncertain.

How serious is the interaction between Rabeprazole and Sparsentan?

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 proteinuria and blood pressure response, and consider whether acid suppression is needed at all.

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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