Interações medicamentosas
Dacomitinib + Dexlansoprazole
Gravidade: Grave
Dacomitinib and Dexlansoprazole: major interaction.
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Resumo
Dexlansoprazole lowers dacomitinib exposure by raising gastric pH, which may reduce its efficacy in lung cancer treatment. The legacy direction of effect is reversed.
O que esta interação significa em palavras simples
Dacomitinib and Dexlansoprazole 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; Dexlansoprazole belongs to Gastrointestinal Tract.
Por que acontece
Elevated gastric pH reduces dacomitinib dissolution and absorption.
O que fazer
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.
O que perguntar ao farmacêutico
- 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?
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Outras interações de Dexlansoprazole
- Dexlansoprazole + Mavacamten Contraindicada
- Dexlansoprazole + Rilpivirine Contraindicada
- Acalabrutinib + Dexlansoprazole Grave
- Atazanavir + Dexlansoprazole Grave
- Dasatinib + Dexlansoprazole Grave
- Dexlansoprazole + Erlotinib Grave
Outras interações de Dacomitinib
- Dacomitinib + Thioridazine Contraindicada
- Amitriptyline + Dacomitinib Grave
- Atomoxetine + Dacomitinib Grave
- Brexpiprazole + Dacomitinib Grave
- Clomipramine + Dacomitinib Grave
- Dacomitinib + Desipramine Grave
Perguntas frequentes
Can I take Dacomitinib with Dexlansoprazole?
MediHelp rates the interaction as major. Dacomitinib and Dexlansoprazole 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. Dexlansoprazole lowers dacomitinib exposure by raising gastric pH, which may reduce its efficacy in lung cancer treatment. The legacy direction of effect is reversed.
How serious is the interaction between Dacomitinib and Dexlansoprazole?
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 Dexlansoprazole?
MediHelp also lists interactions of Dexlansoprazole with, for example, Mavacamten, Rilpivirine, Acalabrutinib. The full list is on the Dexlansoprazole page.
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