Drug General Information (ID: DDI27UANES)
  Drug Name Magaldrate Drug Info Velpatasvir Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antacids Antiviral Agents
  Structure

 Mechanism of Magaldrate-Velpatasvir Interaction (Severity Level: Moderate)
     Altered gastric pH Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Magaldrate Velpatasvir
      Mechanism Gastric alkalinizer Gastric pH sensitive
      Key Mechanism Factor 1
Factor Name Gastric pH
Factor Description The normal pH range of gastric acid is between 1.5 and 3.5 and is highly acidic, consisting mainly of hydrochloric acid. Changes in the pH of the stomach can alter the absorption of drugs.
      Mechanism Description
  • Decreased absorption of Velpatasvir due to altered gastric pH caused by Magaldrate 

Recommended Action
      Management If an antacid is required, the antacid should be taken 4 hours before or 4 hours after administration of sofosbuvir-velpatasvir. The same precaution may be applicable to other drugs with antacid effects.

References
1 Product Information. Epclusa (sofosbuvir-velpatasvir). Gilead Sciences, Foster City, CA.