Does Ketoconazole Interact with Aluminum Hydroxide?
Ketoconazole and Aluminum Hydroxide have a moderate drug interaction according to U.S. FDA drug labeling data. Reduces gastric acidity and impairs ketoconazole absorption from tablets. Should be administered at least 1 hour before or 2 hours after ketoconazole. The mechanism involves reduced gastric acidity impairs ketoconazole absorption. 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
- Ketoconazole Class
- Azole Antifungal
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Ketoconazole and Aluminum Hydroxide occurs because reduced gastric acidity impairs ketoconazole absorption. Clinically, this means reduces gastric acidity and impairs ketoconazole absorption from tablets. should be administered at least 1 hour before or 2 hours after ketoconazole. 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 Ketoconazole and your doctor is considering prescribing Aluminum Hydroxide (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