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What the FDA labels say about taking them together

Erlotinib and rabeprazole

Rabeprazole's FDA label of January 27, 2026 names erlotinib in its drug interactions section; erlotinib's label does not name rabeprazole itself but warns about its class (Proton pump inhibitors (PPIs)). The rabeprazole label: “Rabeprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity.”

Check it at the source: the erlotinib FDA label on DailyMed (effective June 10, 2024, Alembic Pharmaceuticals Limited); the rabeprazole FDA label on DailyMed (effective January 27, 2026, Waylis Therapeutics LLC).

What does the erlotinib label say about rabeprazole?

Erlotinib's label does not name rabeprazole 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

What does the rabeprazole label say about erlotinib?

Rabeprazole label, drug interactions

Clinical Impact: Rabeprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity. Intervention: Mycophenolate mofetil (MMF): Co-administration 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 (Aciphex), Waylis Therapeutics LLC, effective January 27, 2026 (SPL set 1eb38279-0237-4967-be7a-c53a826c1138), 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

10Erlotinib generic labelers
20Rabeprazole generic labelers
ErlotinibRabeprazole
Labeled forLung cancerAcid reflux and ulcers
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.224 per tablet 20 mg tablet
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?