Drug General Information (ID: DDIZSB2EFK)
  Drug Name Aluminum hydroxide Drug Info Ledipasvir Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antacids Antiviral Agents
  Structure

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

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

References
1 Product Information. Harvoni (ledipasvir-sofosbuvir). Gilead Sciences, Foster City, CA.