Drug General Information (ID: DDIJV8THQ9)
  Drug Name Ranitidine Drug Info Rilpivirine Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antiulcer Agents Antiviral Agents
  Structure

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

Recommended Action
      Management To minimize the risk of reduced viral susceptibility and resistance development associated with subtherapeutic levels of rilpivirine, H2-receptor antagonists should be administered at least 12 hours before or 4 hours after the rilpivirine dose.

References
1 Product Information. Edurant (rilpivirine). Tibotec Pharmaceuticals, Titusville, NJ.