藥物交互作用
Dasatinib + Rabeprazole
嚴重程度: 嚴重
Dasatinib and Rabeprazole: major interaction.
最後更新
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摘要
Dasatinib dissolves best in acid, and rabeprazole suppresses gastric acid for many hours. Dasatinib exposure may fall significantly, risking reduced response in leukemia treatment.
用白話說明這項交互作用的意義
Dasatinib and Rabeprazole 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.
Dasatinib belongs to Oncology; Rabeprazole belongs to Gastrointestinal Tract.
為什麼會發生
Higher gastric pH reduces the pH-dependent solubility and absorption of dasatinib.
處置方式
Avoid PPIs with dasatinib. If acid suppression is needed, use an antacid taken at least 2 hours before or after dasatinib, or consider a short-acting H2 blocker given 2 hours before dasatinib.
可向藥師詢問的問題
- 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?
Rabeprazole 的其他交互作用
Dasatinib 的其他交互作用
常見問題
Can I take Dasatinib with Rabeprazole?
MediHelp rates the interaction as major. Dasatinib and Rabeprazole 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. Dasatinib dissolves best in acid, and rabeprazole suppresses gastric acid for many hours. Dasatinib exposure may fall significantly, risking reduced response in leukemia treatment.
How serious is the interaction between Dasatinib and Rabeprazole?
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 dasatinib. If acid suppression is needed, use an antacid taken at least 2 hours before or after dasatinib, or consider a short-acting H2 blocker given 2 hours before dasatinib.
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.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用,並使用劑量工具。