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Interactions médicamenteuses

Acalabrutinib + Esomeprazole

Gravité: Majeure

Acalabrutinib and Esomeprazole: major interaction.

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Résumé

Esomeprazole can substantially lower absorption of acalabrutinib tablets or capsules, which may weaken its anticancer effect. Because PPI acid suppression lasts a long time, separating the doses does not reliably prevent this.

Ce que signifie cette interaction, en termes simples

Acalabrutinib and Esomeprazole 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.

Acalabrutinib belongs to Oncology; Esomeprazole belongs to Gastrointestinal Tract.

Niveau de preuve: High

Pourquoi elle survient

Higher gastric pH reduces the pH-dependent solubility and absorption of acalabrutinib.

Conduite à tenir

Avoid PPIs with acalabrutinib. If acid suppression is needed, use an antacid taken 2 hours apart or an H2 blocker with acalabrutinib taken 2 hours before it, or switch to the tablet form, which is less affected.

Questions à poser à votre pharmacien

  • 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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Questions fréquentes

Can I take Acalabrutinib with Esomeprazole?

MediHelp rates the interaction as major. Acalabrutinib and Esomeprazole 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. Esomeprazole can substantially lower absorption of acalabrutinib tablets or capsules, which may weaken its anticancer effect. Because PPI acid suppression lasts a long time, separating the doses does not reliably prevent this.

How serious is the interaction between Acalabrutinib and Esomeprazole?

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 with acalabrutinib. If acid suppression is needed, use an antacid taken 2 hours apart or an H2 blocker with acalabrutinib taken 2 hours before it, or switch to the tablet form, which is less affected.

What other medicines interact with Esomeprazole?

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

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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