ANTACIDS-DDIs Flashcards

1
Q

How do Antacids affect the absorption of amphetamines

A

,Absorption of amphetamines is increased, and excretion is decreased. Avoid concurrent use or monitor response to therapy.

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2
Q

What happens to the absorption of rosuvastatin when taken with Antacids

A

,Absorption of rosuvastatin is decreased. Separate doses by at least 2 hours. Infrequent use of antacids is unlikely to cause clinically significant interaction.

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3
Q

How do Antacids interact with enteric-coated medications

A

,Increased gastric pH may cause premature breakdown of the enteric coating. Separate doses by at least 2 hours.

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4
Q

How do calcium carbonate, magnesium hydroxide, and aluminum hydroxide interact with levothyroxine

A

,Absorption of levothyroxine is delayed or impaired. Separate doses by at least 4 hours.

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5
Q

What is the effect of calcium carbonate, magnesium hydroxide, and aluminum hydroxide on the absorption of tetracyclines

A

,Absorption of the antibiotic is decreased. Separate doses by at least 4 hours.

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6
Q

What is the recommended timing for taking antibiotics (e.g., fluoroquinolones) with magnesium hydroxide and aluminum hydroxide antacids

A

,Take the antibiotic 2 hours before or 6 hours after taking the antacid.

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7
Q

How do magnesium hydroxide and aluminum hydroxide interact with azithromycin

A

,Absorption of the antibiotic is decreased. Separate doses by at least 2 hours.

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8
Q

What is the potential drug interaction of sodium bicarbonate with quinidine

A

,Increased urinary pH may decrease renal excretion of quinidine. Avoid concurrent use or monitor response to therapy.

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9
Q

What is the potential drug interaction of sodium bicarbonate with salicylates

A

,Increased urinary pH may increase renal excretion of salicylates. Avoid concurrent use or monitor for decreased response to salicylates.

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10
Q

How do Antacids, H2RAs, and PPIs interact with Erlotinib, dasatinib, gefitinib, other TKIs, rilpivirine, and ledipasvir/sofosbuvir

A

,Increased gastric pH decreases the absorption of these medications.

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11
Q

What is the recommended management/preventive measure when taking Erlotinib, dasatinib, gefitinib, other TKIs, rilpivirine, or ledipasvir/sofosbuvir along with Antacids, H2RAs, or PPIs

A

,Avoid concurrent use of PPI or H2RA; separate the administration from antacids by several hours.

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12
Q

What is the potential drug interaction when taking Antacids with Itraconazole, ketoconazole, iron, or atazanavir

A

,Increased gastric pH may decrease disintegration, dissolution, or ionization of the drug leading to decreased absorption. Separate doses by at least 2 hours.

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