Drug General Information (ID: DDIMO69QXU)
  Drug Name Lapatinib Drug Info Dexlansoprazole Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antineoplastics Proton Pump Inhibitors
  Structure

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

Recommended Action
      Management Caution may be advisable if lapatinib is used in combination with H2-receptor antagonists or proton pump inhibitors. Patients should be monitored for potentially reduced therapeutic response to lapatinib.

References
1 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
2 Product Information. Tykerb (lapatinib). Novartis Pharmaceuticals, East Hanover, NJ.