Methotrexate + Lansoprazole Amoxicillin Clarithromycin Interaction

Majorinteraction on record

Description

Concomitant use may elevate and prolong serum concentrations of methotrexate and its metabolite, potentially leading to methotrexate toxicities.

Mechanism

PPI impairs methotrexate elimination

Source: NLP:lansoprazole, amoxicillin, clarithromycin