Drug General Information (ID: DDILV4XEIN)
  Drug Name Dexlansoprazole Drug Info Rilpivirine Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Proton Pump Inhibitors Antiviral Agents
  Structure

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

Recommended Action
      Management Given the risk of reduced viral susceptibility and resistance development associated with subtherapeutic antiretroviral drug levels, concomitant use of rilpivirine with proton pump inhibitors is considered contraindicated.

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