医薬品リファレンス
Dexlansoprazole
Dexlansoprazole is a medicine in the class gastrointestinal tract. It is used for gerd.
- 薬効分類: Gastrointestinal Tract
- 効能・効果: gerd
最終更新日
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要点
- 薬効分類
- Gastrointestinal Tract
- 一般的な剤形
- カプセル剤
- 一般的な規格
- 60 mg, 30 mg
- 既知の相互作用
- 116 (併用禁忌: 2 · 重大: 18 · 中等度: 46 · 軽度: 50)
- 商品名
- 22
- 国・市場
- 4
何に使われるか
作用のしくみ
R-enantiomer of lansoprazole; PPI; binds to H+/K+-exchanging ATPase (proton pump) in gastric parietal cells, resulting in blockage of acid secretion, Dual release formulation, Relative Potency: not available.
成人の通常用量(添付文書の要約)
General dosing: 30-60 mg orally every day for up to 8 weeks.
通常の服用方法
Proton pump inhibitors are usually taken by mouth once a day, often before a meal, for a course whose length depends on the reason for treatment.
妊娠と授乳
- 妊娠
- Safe No human studies, but data for lansoprazole, of which it is an enantiomer, show no harm in pregnancy. Acceptable when a PPI is needed; omeprazole has the most pregnancy data.
- 授乳
- Safe No milk data. LactMed: as lansoprazole has been used safely in newborns, the amount in milk is unlikely to harm the infant. Acceptable.
報告されている副作用
- Vomiting
- Diarrhea
- Nausea
- Abdominal pain
- URI
禁忌
- Hypersensitivity reactions, including anaphylaxis and acute interstitial nephritis reported
- PPIs are contraindicated with rilpivirine-containing products
注意が必要な方
- Proton pump inhibitors (PPIs) are possibly associated with increased incidence of Clostridium difficile-associated diarrhea (CDAD).
- PPI therapy may be associated with an increased risk for osteoporosis-related fractures of the hip, wrist, particularly with prolonged (>1 yr), high-dose therapy.
- Daily long-term use (e.g., longer than 3 years) may lead to malabsorption or a deficiency of cyanocobalamin.
People taking proton pump inhibitors for a long time should have the need for treatment reviewed, because long-term use is linked to low magnesium, vitamin B12 deficiency, bone fractures and gut infections. Tell your pharmacist about all other medicines, since some interact.
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
主な相互作用 (116)
- Dexlansoprazole + Mavacamten Contraindicated
- Dexlansoprazole + Rilpivirine Contraindicated
- Acalabrutinib + Dexlansoprazole Major
- Atazanavir + Dexlansoprazole Major
- Dacomitinib + Dexlansoprazole Major
- Dasatinib + Dexlansoprazole Major
- Dexlansoprazole + Erlotinib Major
- Dexlansoprazole + Gefitinib Major
- Dexlansoprazole + Infigratinib Major
- Dexlansoprazole + Itraconazole Major
Pro+会員向け
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アカウントを作成してPro+トライアルを始めると、Dexlansoprazoleの完全なモノグラフ(用量、妊娠・授乳、副作用、警告、すべての相互作用)を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- Pharmacokinetics
- Patient counselling points
- Food interactions
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同じ分類のほかの薬剤
よくある質問
What is Dexlansoprazole used for?
Dexlansoprazole is a medicine in the class gastrointestinal tract. It is used for GERD, Peptic ulcer.
What side effects have been reported with Dexlansoprazole?
Vomiting, Diarrhea, Nausea, Abdominal pain, URI.
Can Dexlansoprazole be taken in pregnancy or while breastfeeding?
Pregnancy: Safe. No human studies, but data for lansoprazole, of which it is an enantiomer, show no harm in pregnancy. Acceptable when a PPI is needed; omeprazole has the most pregnancy data. Breastfeeding: Safe. No milk data. LactMed: as lansoprazole has been used safely in newborns, the amount in milk is unlikely to harm the infant. Acceptable.
What does Dexlansoprazole interact with?
MediHelp lists 116 known interactions for Dexlansoprazole. Contraindicated: 2 · Major: 18 · Moderate: 46 · Minor: 50. The most serious include Mavacamten, Rilpivirine, Acalabrutinib.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。