Drug General Information (ID: DDI40IYFHD)
  Drug Name Ranitidine Drug Info Bosutinib Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antiulcer Agents Antineoplastics
  Structure

 Mechanism of Ranitidine-Bosutinib Interaction (Severity Level: Moderate)
     Altered gastric pH Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Ranitidine Bosutinib
      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 Bosutinib due to altered gastric pH caused by Ranitidine 

Recommended Action
      Management To minimize the potential for interaction, H2-receptor antagonists or antacids should be administered at least 2 hours before or 2 hours after the bosutinib dose.

References
1 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
2 Product Information. Bosulif (bosutinib). Pfizer U.S. Pharmaceuticals Group, New York, NY.