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Gaviscon Tablet and Jantoven

Determining the interaction of Gaviscon Tablet and Jantoven and the possibility of their joint administration.

Check result:
Gaviscon Tablet <> Jantoven
Relevance: 01.05.2022 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:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

In vitro data suggest that magnesium trisilicate may reduce the gastrointestinal absorption of warfarin. The mechanism of interaction is unknown. In an in vitro study involving absorption across a physiological membrane, cumulative absorption of warfarin was reduced 19.4% by magnesium trisilicate. Other antacids have not been reported to affect the pharmacokinetics of warfarin. In six healthy volunteers, aluminum-magnesium hydroxide given concurrently and for four additional doses every 2 hours had no effect on the plasma levels or hypoprothrombinemic effect of warfarin. Another study using aluminum hydroxide also found no evidence of an interaction with warfarin. No special precautions appear to be necessary when warfarin is prescribed in combination with antacids.

References
  • Robinson DS, Benjamin DM, McCormack JJ "Interaction of warfarin and nonsystemic gastrointestinal drugs." Clin Pharmacol Ther 12 (1971): 491-5
  • Ambre JJ, Fischer LJ "Effect of coadministration of aluminum and magnesium hydroxides on absorption of anticoagulants in man." Clin Pharmacol Ther 14 (1973): 231-7
  • D'Arcy PF, McElnay JC "Drug-antacid interactions: assessment of clinical importance." Drug Intell Clin Pharm 21 (1987): 607-17
  • McElnay JC, Harron DW, D'ARcy PF, Collier PS "Interaction of warfarin with antacid constituents." Br Med J 2 (1978): 1166
Gaviscon Tablet

Generic Name: aluminum hydroxide / magnesium trisilicate

Brand name: Gaviscon Tablet, Drysol, Hypercare, Xerac AC

Synonyms: Aluminum Hydroxide and Magnesium Trisilicate

Jantoven

Generic Name: warfarin

Brand name: Coumadin, Jantoven

Synonyms: n.a.

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.

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