LANSOPRAZOL-AMOXICIL-CLARITHRO

Clarithromycin 500mg, Oral tablet

Grapefruit juice

· Severity: Mild

· Notes for Consumers: Grapefruit juice and grapefruit-containing foods may increase the side effects of Clarithromycin. There may be no interaction. Do not significantly change your grapefruit intake while taking Clarithromycin.

· Notes for Professionals: Grapefruit juice has been reported to decrease the metabolism of drugs metabolized via cytochrome CYP 3A4 isozyme. Grapefruit juice contains compounds that inhibit CYP3A4 in enterocytes in the GI tract. In a randomized crossover study in healthy volunteers, grapefruit juice did not have a significant affect on the bioavailability of clarithromycin nor did it affect the metabolism of clarithromycin to its active metabolite.

Clarithromycin 500mg, Oral tablet

Marijuana

· Severity: Moderate

· Notes for Consumers: The effects of marijuana may be increased and side effects may get worse if it is combined with this medicine. Do not drive or operate machinery until you know how this combination will affect you. Contact your health care provider right away if you notice slurred speech, confusion, severe drowsiness, increased heart rate, or any other new or unusual side effects.

· Notes for Professionals: The incidence of marijuana associated adverse effects may change following coadministration with clarithromycin. Clarithromycin is an inhibitor of CYP3A4, an isoenzyme partially responsible for the metabolism of marijuana's most psychoactive compound, delta-9-tetrahydrocannabinol (Delta-9-THC). When given concurrently with clarithromycin, the amount of Delta-9-THC converted to the active metabolite 11-hydroxy-delta-9-tetrahydrocannabinol (11-OH-THC) may be reduced. These changes in Delta-9-THC and 11-OH-THC plasma concentrations may result in an altered marijuana adverse event profile.

Lansoprazole 30mg, Oral capsule, gastro-resistant sprinkles

Food

· Severity: Major

· Notes for Consumers: Food may decrease the amount of Lansoprazole absorbed by the stomach, which can decrease the acid reducing effects of Lansoprazole. To limit this interaction, take Lansoprazole on an empty stomach, at least 30 minutes prior to a meal whenever possible.

· Notes for Professionals: Administer on an empty stomach, 30 to 60 minutes before meals. If given once daily, administer before the first meal of the day. Antacids were used concomitantly with lansoprazole in clinical trials.

<b>DISCLAIMER:</b><em> This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. Drug information is sourced from GSDD (Gold Standard Drug Database ) provided by Elsevier.</em>