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What the FDA labels say about taking them together

Dexlansoprazole and erlotinib

Dexlansoprazole's FDA label of February 17, 2025 names erlotinib in its drug interactions section; erlotinib's label does not name dexlansoprazole itself but warns about its class (Proton pump inhibitors (PPIs)). The dexlansoprazole label: “Dexlansoprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity.”

Check it at the source: the dexlansoprazole FDA label on DailyMed (effective February 17, 2025, Takeda Pharmaceuticals America, Inc.); the erlotinib FDA label on DailyMed (effective June 10, 2024, Alembic Pharmaceuticals Limited).

What does the dexlansoprazole label say about erlotinib?

Dexlansoprazole label, drug interactions

Clinical Impact: Dexlansoprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity. Intervention: Mycophenolate mofetil (MMF): Coadministration of PPIs in healthy subjects and in transplant patients receiving MMF has been reported to reduce the exposure to the active metabolite, mycophenolic acid (MPA), possibly due to a decrease in MMF solubility at an increased gastric pH. …

Source: FDA drug label (Dexilant), Takeda Pharmaceuticals America, Inc., effective February 17, 2025 (SPL set 9819f033-3bbe-442e-8e92-45fec77b237d), via openFDA; the full label on DailyMed

What does the erlotinib label say about dexlansoprazole?

Erlotinib's label does not name dexlansoprazole itself; it warns about its class (Proton pump inhibitors (PPIs)):

Erlotinib label, drug interactions

Drugs the Increase Gastric pH Co-administration of erlotinib with proton pump inhibitors (e.g., omeprazole) and H-2 receptor antagonists (e.g., ranitidine) decreased erlotinib exposure [see Clinical Pharmacology (12.3)].

Erlotinib label, drug interactions

For proton pump inhibitors, avoid concomitant use if possible.

Source: FDA drug label (ERLOTINIB HYDROCHLORIDE), Alembic Pharmaceuticals Limited, effective June 10, 2024 (SPL set ab6f3cb3-34a8-4492-a5d7-fb6b055a2d6b), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

9Dexlansoprazole generic labelers
10Erlotinib generic labelers
DexlansoprazoleErlotinib
Labeled forAcid reflux and ulcersLung cancer
Boxed warningNoNo
Pharmacy cost (NADAC)$3.71 per capsule 60 mg capsulen/a
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?