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Aptivus (Tipranavir Capsules) and Esomeprazole Powder for Suspension

Determining the interaction of Aptivus (Tipranavir Capsules) and Esomeprazole Powder for Suspension and the possibility of their joint administration.

Check result:
Aptivus (Tipranavir Capsules) <> Esomeprazole Powder for Suspension
Relevance: 19.06.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Tipranavir can decrease the levels of esomeprazole in your body. You may need a dose adjustment if you have been taking esomeprazole and are starting treatment with tipranavir. Let your doctor know if esomeprazole becomes less effective or is no longer controlling your symptoms. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

ADJUST DOSE: The concomitant administration of tipranavir-ritonavir with omeprazole or esomeprazole may significantly decrease systemic exposure to the proton pump inhibitors. The proposed mechanism is induction of CYP450 2C19 metabolism by tipranavir-ritonavir. In clinical studies, concurrent administration of tipranavir-ritonavir reduced the steady state AUC and Cmax of omeprazole by 71% and 73%, respectively. Esomeprazole, the S-enantiomer of omeprazole, was similarly affected.

MANAGEMENT: If this combination is given concurrently, patients should be monitored for altered clinical efficacy of the proton pump inhibitor. Dose adjustments may be necessary; however, specific dosage recommendations are not available.

References
  • Canadian Pharmacists Association "e-CPS. Available from: URL: http://www.pharmacists.ca/function/Subscriptions/ecps.cfm?link=eCPS_quikLink."
  • "Product Information. Aptivus (tipranavir)." Boehringer-Ingelheim, Ridgefield, CT.
  • Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
Aptivus (Tipranavir Capsules)

Generic Name: tipranavir

Brand name: Aptivus

Synonyms: Aptivus

Esomeprazole Powder for Suspension

Generic Name: esomeprazole

Brand name: Esomeprazole Strontium, Nexium, Nexium, NexIUM 24HR, Nexium IV

Synonyms: Esomeprazole

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.