相互作用
Dacomitinib + Lansoprazole
重症度: 重大
Dacomitinib and Lansoprazole: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Lansoprazole lowers dacomitinib exposure by raising gastric pH, which may reduce its efficacy in lung cancer treatment. The legacy direction of effect is the reverse of what happens.
この相互作用をわかりやすく説明すると
Dacomitinib and Lansoprazole 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.
Dacomitinib belongs to Oncology; Lansoprazole belongs to Gastrointestinal Tract.
なぜ起こるのか
Elevated gastric pH reduces the dissolution and absorption of dacomitinib.
対処法
Avoid PPIs with dacomitinib. If acid suppression is needed, use a locally acting antacid or give dacomitinib at least 6 hours before or 10 hours after an H2 blocker.
薬剤師に尋ねること
- 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?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、DacomitinibとLansoprazoleの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
WebでPro+を14日間無料でお試し。カード登録不要。
Lansoprazoleのその他の相互作用
Dacomitinibのその他の相互作用
よくある質問
Can I take Dacomitinib with Lansoprazole?
MediHelp rates the interaction as major. Dacomitinib and Lansoprazole 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. Lansoprazole lowers dacomitinib exposure by raising gastric pH, which may reduce its efficacy in lung cancer treatment. The legacy direction of effect is the reverse of what happens.
How serious is the interaction between Dacomitinib and Lansoprazole?
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 dacomitinib. If acid suppression is needed, use a locally acting antacid or give dacomitinib at least 6 hours before or 10 hours after an H2 blocker.
What other medicines interact with Lansoprazole?
MediHelp also lists interactions of Lansoprazole with, for example, Mavacamten, Rilpivirine, Acalabrutinib. The full list is on the Lansoprazole page.
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。
