Does Dolutegravir Sodium And Rilpivirine Hydrochloride Interact with Gastric Ph Modulators H2 Blockers Proton Pump Inhibitors?
Dolutegravir Sodium And Rilpivirine Hydrochloride and Gastric Ph Modulators H2 Blockers Proton Pump Inhibitors have a moderate drug interaction according to U.S. FDA drug labeling data. Drugs increasing gastric pH may decrease plasma concentrations of dolutegravir and rilpivirine. Monitor virologic response. The mechanism involves reduced absorption of dolutegravir and rilpivirine in alkaline ph. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Moderate
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Dolutegravir Sodium And Rilpivirine Hydrochloride and Gastric Ph Modulators H2 Blockers Proton Pump Inhibitors occurs because reduced absorption of dolutegravir and rilpivirine in alkaline ph. Clinically, this means drugs increasing gastric ph may decrease plasma concentrations of dolutegravir and rilpivirine. monitor virologic response. This is classified as a moderate interaction. While it may not require stopping either medication, your healthcare provider should be aware you are taking both so they can monitor for potential effects and adjust treatment if necessary.
What To Tell Your Doctor or Pharmacist
If you are taking Dolutegravir Sodium And Rilpivirine Hydrochloride and your doctor is considering prescribing Gastric Ph Modulators H2 Blockers Proton Pump Inhibitors (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider