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Can you take Magaldrate with Promacta Kit?

1 drug interaction and 12 additional warnings found for the following 2 drugs:

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Drug interactions

Moderate drug interactions

Moderate:

magaldrate eltrombopag

Applies to: magaldrate and Promacta Kit (eltrombopag)

Eltrombopag and magaldrate should not be taken orally at the same time.

Products that contain aluminum, calcium, iron, magnesium, zinc or other minerals may interfere with the absorption of eltrombopag into the bloodstream and reduce its effectiveness.

You should take eltrombopag on an empty stomach at least 2 hours before or 4 hours after magaldrate.

Talk to a healthcare professional if you are not sure whether a product contains something that could potentially interact with your medication or if you have questions on how to take this or other medications you are prescribed.

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

Moderate food/lifestyle interactions

Moderate:

eltrombopag Food/Lifestyle

Applies to: Promacta Kit (eltrombopag)

Foods that are high in calcium may reduce the absorption and blood levels of eltrombopag.

You should take eltrombopag 2 hours before or 4 hours after a meal containing high-calcium foods. Eltrombopag may be taken with meals that are low in calcium (< 50 mg calcium), including fruit, lean ham, beef and unfortified (no added calcium, magnesium, or iron) fruit juice, unfortified soy milk, and unfortified grain.

Talk to your doctor or pharmacist if you have questions on how to take this or other medications you are prescribed. 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.

Disease interactions

11 potential interactions Applies to: 10 conditions, including Diarrhea, Cataract, Thrombotic/Thromboembolic Disorder, Liver Disease, and Renal Dysfunction.

Cataract

Moderate:

Promacta Kit

The eltrombopag in Promacta Kit has a moderate potential interaction with Cataract.

In clinical trials, eltrombopag developed or worsened cataracts in 7% of the patients receiving treatment. A baseline ocular examination prior to administration of eltrombopag is recommended, and regular monitoring for signs and symptoms of cataracts should be performed regularly during treatment.

Diarrhea

Moderate:

magaldrate

Magaldrate has a moderate potential interaction with Diarrhea.

The use of magnesium-containing antacids has been associated with a laxative effect and may cause diarrhea. Therapy with magnesium-containing antacids should be administered cautiously in patients with diarrhea.

History, Thrombotic/Thromboembolic Disorder

Moderate:

Promacta Kit

The eltrombopag in Promacta Kit has a moderate potential interaction with History, Thrombotic/Thromboembolic Disorder.

Thromboembolic complications may result from increases in platelet counts with TPO receptor agonists such as avatrombopag, lusutrombopag, and eltrombopag. Consider the potential for increased risk of thromboembolism when administering these medications to patients with known risk factors for thromboembolism, including genetic prothrombotic conditions (Factor V Leiden, Prothrombin 20210 A, Antithrombin deficiency or Protein C or S deficiency).

Infectious Hepatitis

Major:

Promacta Kit

The eltrombopag in Promacta Kit has a major potential interaction with Infectious Hepatitis.

Eltrombopag has shown to increase the risk of hepatic decompensation in patients with chronic hepatitis C in treatment with interferon and ribavirin. Clinical trials reported that ascites and encephalopathy occurred more frequently on these patients than in the placebo arm. Patients with chronic hepatitis and receiving antiviral treatment should be closely monitored. The manufacturers also recommend to discontinue eltrombopag if the antiviral therapy is discontinued.

Intestinal Obstruction

Major:

magaldrate

Magaldrate has a major potential interaction with Intestinal Obstruction.

Aluminum containing antacids may produce constipation, which may lead to intestinal obstruction. Osteomalacia and hypophosphatemia may be produced in patients with renal dysfunction who are not receiving dialysis. Patients with renal dysfunction, intestinal obstruction, osteomalacia, or hypophosphatemia should use antacids with low or no aluminum content.

Liver Disease

Major:

Promacta Kit

The eltrombopag in Promacta Kit has a major potential interaction with Liver Disease.

Eltrombopag can cause liver enzyme elevations. Monitor ALT, AST and bilirubin prior to treatment initiation, and every 2 weeks during dose adjustment phase and then monthly. If abnormalities are confirmed, monitor serum liver tests weekly until resolved or stabilized. Treatment should be discontinued if ALT levels increase to greater than or equal to 3 x ULN in patients with normal liver function, or greater or equal to 3 x baseline in patients with pretreatment transaminase elevations that are progressively increasing, persist for 4 weeks or more, also have an increase in bilirubin, or also have clinical symptoms of liver injury or hepatic decompensation.

Hepatic impairment influences the exposure to eltrombopag. The initial dose should be reduced in patients with chronic ITP or severe aplastic anemia who have hepatic impairment. No dose adjustment is required on patients with chronic hepatitis C and hepatic impairment.

Phosphate Imbalance

Major:

magaldrate

Magaldrate has a major potential interaction with Phosphate Imbalance.

Aluminum containing antacids may produce constipation, which may lead to intestinal obstruction. Osteomalacia and hypophosphatemia may be produced in patients with renal dysfunction who are not receiving dialysis. Patients with renal dysfunction, intestinal obstruction, osteomalacia, or hypophosphatemia should use antacids with low or no aluminum content.

Protein C Deficiency

Moderate:

Promacta Kit

The eltrombopag in Promacta Kit has a moderate potential interaction with Protein C Deficiency.

Thromboembolic complications may result from increases in platelet counts with TPO receptor agonists such as avatrombopag, lusutrombopag, and eltrombopag. Consider the potential for increased risk of thromboembolism when administering these medications to patients with known risk factors for thromboembolism, including genetic prothrombotic conditions (Factor V Leiden, Prothrombin 20210 A, Antithrombin deficiency or Protein C or S deficiency).

Renal Dysfunction

Major:

magaldrate

Magaldrate has a major potential interaction with Renal Dysfunction.

Magnesium is eliminated by the kidney. The serum concentration of magnesium is increased in patients with renal impairment. Magnesium toxicity includes CNS depression, muscular paralysis, respiratory depression, hypotension and prolonged cardiac conduction time. Disappearance of the patellar reflex is a useful clinical sign of magnesium intoxication. Therapy with magnesium should be administered cautiously and dosages should be modified in patients with compromised renal function. Clinical monitoring of serum magnesium levels is recommended.

Major:

magaldrate

Magaldrate has a major potential interaction with Renal Dysfunction.

Aluminum containing antacids may produce constipation, which may lead to intestinal obstruction. Osteomalacia and hypophosphatemia may be produced in patients with renal dysfunction who are not receiving dialysis. Patients with renal dysfunction, intestinal obstruction, osteomalacia, or hypophosphatemia should use antacids with low or no aluminum content.

Thrombotic/Thromboembolic Disorder

Moderate:

Promacta Kit

The eltrombopag in Promacta Kit has a moderate potential interaction with Thrombotic/Thromboembolic Disorder.

Thromboembolic complications may result from increases in platelet counts with TPO receptor agonists such as avatrombopag, lusutrombopag, and eltrombopag. Consider the potential for increased risk of thromboembolism when administering these medications to patients with known risk factors for thromboembolism, including genetic prothrombotic conditions (Factor V Leiden, Prothrombin 20210 A, Antithrombin deficiency or Protein C or S deficiency).

More resources

magaldrate

A total of 236 drugs are known to interact with magaldrate.

Promacta Kit

A total of 218 drugs are known to interact with Promacta Kit.

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.