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What the FDA labels say about taking them together

Lansoprazole and nilotinib

Lansoprazole's FDA label of June 24, 2025 names nilotinib in its drug interactions (prescription label) section; nilotinib's label does not name lansoprazole itself but warns about its class (Proton pump inhibitors (PPIs)). The lansoprazole label: “Lansoprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity.”

Check it at the source: the lansoprazole FDA label on DailyMed (effective June 24, 2025, L. Perrigo Company); the nilotinib FDA label on DailyMed (effective December 16, 2025, Novartis Pharmaceuticals Corporation).

What does the lansoprazole label say about nilotinib?

Lansoprazole label, drug interactions (prescription label)

Clinical Impact: Lansoprazole 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 (Prevacid 24 HR), L. Perrigo Company, effective June 24, 2025 (SPL set 205c9c1e-b422-4e86-a4b0-714b608adc19), via openFDA; the full label on DailyMed

What does the nilotinib label say about lansoprazole?

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

Nilotinib label, drug interactions

Avoid concomitant use with Tasigna. Use short-acting antacids or H2 blockers as an alternative to proton pump inhibitors.

Nilotinib label, drug interactions

Proton Pump Inhibitors Concomitant use with a proton pump inhibitor (PPI) decreased nilotinib concentrations compared to Tasigna alone [see Clinical Pharmacology (12.3)], which may reduce Tasigna efficacy.

Source: FDA drug label (Tasigna), Novartis Pharmaceuticals Corporation, effective December 16, 2025 (SPL set 6093952a-5248-45cb-ad17-33716a411146), 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

59Lansoprazole generic labelers
6Nilotinib generic labelers
LansoprazoleNilotinib
Labeled forAcid reflux and ulcersLeukemia, lymphoma and myeloma
Boxed warningNoYes
Pharmacy cost (NADAC)$0.106 per capsule 30 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?