Skip to main content

Can you take Amphotericin b lipid complex with Lansoprazole?

1 drug interaction and 11 additional warnings found for the following 2 drugs:

Add/remove drugs

Drug interactions

Moderate drug interactions

Moderate:

lansoprazole amphotericin B lipid complex

Applies to: lansoprazole and amphotericin b lipid complex

Chronic use of drugs known as proton pump inhibitors including lansoprazole can sometimes cause hypomagnesemia (low blood levels of magnesium), and the risk may be further increased when combined with other medications that also have this effect such as amphotericin B lipid complex.

In severe cases, hypomagnesemia can lead to:

  • irregular heart rhythm
  • palpitations
  • muscle spasm
  • tremor
  • seizures

In children, abnormal heart rhythm may cause:

  • fatigue
  • upset stomach
  • dizziness
  • lightheadedness

A dose adjustment or more frequent monitoring by the doctor may be required to safely use both medications.

If you are using an over-the-counter proton pump inhibitor medication such as Prilosec OTC, Zegerid OTC or Prevacid 24 HR, you should follow the directions on the package carefully. Do not use the medication more frequently or for a longer period than recommended on the label unless otherwise prescribed by your doctor.

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.

Food/lifestyle interactions

No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

Disease interactions

11 potential interactions Applies to: 10 conditions, including Osteoporosis, Diarrhea, Hypokalemia, Anemia, and Hypocalcemia.

Anemia

Moderate:

amphotericin b lipid complex

amphotericin B lipid complex has a moderate potential interaction with Anemia.

Amphotericin B lipid complex may depress red blood cell production and occasionally causes a normocytic, normochromic anemia. A 4% incidence was reported during clinical trials. Although the anemia is generally well tolerated and reverses completely after discontinuation of therapy, it may be problematic in patients with preexisting anemia. Therapy with amphotericin B lipid complex should be administered cautiously in anemic patients. Frequent blood counts and hematocrit levels are recommended.

Diarrhea

Major:

lansoprazole

Lansoprazole has a major potential interaction with Diarrhea.

Published observational studies suggest that proton pump inhibitor (PPI) use may be associated with an increased risk of Clostridium difficile-associated diarrhea (CDAD), especially in hospitalized patients. This diagnosis should be considered for diarrhea that does not improve. It is recommended that patients should use the lowest dose and shortest duration of PPI therapy appropriate to the condition being treated. Close monitoring is recommended in patients with diarrhea and in those taking antibacterial agents as CDAD has been reported with the use of nearly all these agents. Treatment with antibacterial agents alters the normal flora of the colon, leading to overgrowth of C. difficile. C. difficile produces toxins A and B, which contribute to the development of CDAD. Appropriate fluid and electrolyte management, protein supplementation, antibiotic treatment of C. difficile, and surgical evaluation should be instituted as clinically indicated.

Hyperkalemia

Moderate:

amphotericin b lipid complex

amphotericin B lipid complex has a moderate potential interaction with Hyperkalemia.

Amphotericin B lipid complex is substantially less nephrotoxic than traditional amphotericin B but may still cause hypo- and hyperkalemia, hypomagnesemia, and hypocalcemia secondary to renal impairment. Renal function and serum electrolytes should be monitored in all patients receiving therapy with amphotericin B lipid complex but particularly closely in patients with preexisting electrolyte abnormalities. Mineral and electrolyte supplementation may likely be required. Complications of electrolyte imbalances include muscle weakness, tetany, seizures and cardiac disturbances.

Hypocalcemia

Moderate:

amphotericin b lipid complex

amphotericin B lipid complex has a moderate potential interaction with Hypocalcemia.

Amphotericin B lipid complex is substantially less nephrotoxic than traditional amphotericin B but may still cause hypo- and hyperkalemia, hypomagnesemia, and hypocalcemia secondary to renal impairment. Renal function and serum electrolytes should be monitored in all patients receiving therapy with amphotericin B lipid complex but particularly closely in patients with preexisting electrolyte abnormalities. Mineral and electrolyte supplementation may likely be required. Complications of electrolyte imbalances include muscle weakness, tetany, seizures and cardiac disturbances.

Hypokalemia

Moderate:

amphotericin b lipid complex

amphotericin B lipid complex has a moderate potential interaction with Hypokalemia.

Amphotericin B lipid complex is substantially less nephrotoxic than traditional amphotericin B but may still cause hypo- and hyperkalemia, hypomagnesemia, and hypocalcemia secondary to renal impairment. Renal function and serum electrolytes should be monitored in all patients receiving therapy with amphotericin B lipid complex but particularly closely in patients with preexisting electrolyte abnormalities. Mineral and electrolyte supplementation may likely be required. Complications of electrolyte imbalances include muscle weakness, tetany, seizures and cardiac disturbances.

Liver Disease

Moderate:

lansoprazole

Lansoprazole has a moderate potential interaction with Liver Disease.

Lansoprazole is primarily metabolized by the liver. Although the drug is generally well-tolerated, dosage adjustments with cautious titration should be considered in patients with severe hepatic impairment.

Magnesium Imbalance

Moderate:

amphotericin b lipid complex

amphotericin B lipid complex has a moderate potential interaction with Magnesium Imbalance.

Amphotericin B lipid complex is substantially less nephrotoxic than traditional amphotericin B but may still cause hypo- and hyperkalemia, hypomagnesemia, and hypocalcemia secondary to renal impairment. Renal function and serum electrolytes should be monitored in all patients receiving therapy with amphotericin B lipid complex but particularly closely in patients with preexisting electrolyte abnormalities. Mineral and electrolyte supplementation may likely be required. Complications of electrolyte imbalances include muscle weakness, tetany, seizures and cardiac disturbances.

Moderate:

lansoprazole

Lansoprazole has a moderate potential interaction with Magnesium Imbalance.

Symptomatic and asymptomatic hypomagnesemia has been reported rarely in patients treated with PPIs for at least 3 months, in most cases after a year of therapy. Serious adverse events can include tetany, seizures, and arrhythmias. Caution should be used in patients prone to magnesium imbalances such as patients taking other medications that can cause hypomagnesemia (e.g., diuretics). Regular monitoring is recommended.

Osteoporosis

Moderate:

lansoprazole

Lansoprazole has a moderate potential interaction with Osteoporosis.

Various published observational studies have reported that PPI therapy may be associated with an increased risk for osteoporosis related fractures of the hip, wrist or spine. The risk was increased in patients who received high doses (multiple daily doses), and long term treatment (a year or longer). Patients should use the lowest dose and shortest duration of PPI therapy appropriate to the condition being treated. Caution should be used in patients at risk for osteoporosis related fractures and should be managed according to established treatment guidelines.

Pseudomembranous Colitis

Major:

lansoprazole

Lansoprazole has a major potential interaction with Pseudomembranous Colitis.

Published observational studies suggest that proton pump inhibitor (PPI) use may be associated with an increased risk of Clostridium difficile-associated diarrhea (CDAD), especially in hospitalized patients. This diagnosis should be considered for diarrhea that does not improve. It is recommended that patients should use the lowest dose and shortest duration of PPI therapy appropriate to the condition being treated. Close monitoring is recommended in patients with diarrhea and in those taking antibacterial agents as CDAD has been reported with the use of nearly all these agents. Treatment with antibacterial agents alters the normal flora of the colon, leading to overgrowth of C. difficile. C. difficile produces toxins A and B, which contribute to the development of CDAD. Appropriate fluid and electrolyte management, protein supplementation, antibiotic treatment of C. difficile, and surgical evaluation should be instituted as clinically indicated.

Renal Dysfunction

Moderate:

amphotericin b lipid complex

amphotericin B lipid complex has a moderate potential interaction with Renal Dysfunction.

Amphotericin B lipid complex is substantially less nephrotoxic than traditional amphotericin B but may still cause decreased renal function and abnormalities such as hypo- and hyperkalemia, hypomagnesemia, and renal tubular acidosis. Renal function should be monitored in all patients receiving therapy with amphotericin B lipid complex but particularly closely in patients with preexisting renal impairment. Serum creatinine, BUN, potassium and magnesium levels should be evaluated regularly, and dosing adjusted or discontinued if necessary. Hydration with normal saline may decrease the risk for nephrotoxicity. In addition, administration of alkali medication may help to prevent renal tubular acidosis.

More resources

amphotericin b lipid complex

A total of 185 drugs are known to interact with amphotericin b lipid complex.

lansoprazole

A total of 231 drugs are known to interact with lansoprazole.

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.