Top answers from doctors based on your search: Disclaimer. Aciphex (rabeprazole) is good for treating heartburn and ulcers, but should not be used long-term. In addition, some studies have suggested less drug interactions when compared with other PPIs. Side effects of Aciphex that are different from Dexilant include Side effects of Dexilant that are different from Aciphex include Aciphex (rabeprazole sodium) is a proton pump inhibitor (PPI) to reduce stomach acid and is used for the treatment of Dexilant (dexlansoprazole) is a proton pump inhibitor (PPI) used to treat certain stomach and Aciphex may interact with atazanavir, blood thinners, digoxin, diuretics (water pills), ketoconazole, or methotrexate.Dexilant may interact with atazanavir, ampicillin, digoxin, iron, blood thinners such as Dexilant may also interact with digoxin, tacrolimus, or clopidogrel.Copyright © 2020 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Manuscript content on this site is licensed under Creative Commons Licenses the site you are agreeing to our use of cookies. Clopidogrel is a prodrug that requires metabolism by hepatic CYP enzymes, including CYP2C19, to become an active metabolite that blocks platelet P2YGiven the fact that PPIs inhibit CYP2C19, there has been a concern that the conversion of clopidogrel to its active metabolite is interrupted by the coadministration of a PPI. Dexilant (dexlansoprazole) is an effective medicine to treat heartburn, but can be expensive since it is only available as a brand.

pantoprazole vs rabeprazole. 3.93 stars from 5, 67 votes 0 reviews Dexilant vs . Importantly, consumption of dexlansoprazole does not appear to be meal dependent.

Another concern is that the elevation of intragastric pH caused by PPI consumption may decrease the absorption of clopidogrel.A randomized, open-label, two-period, crossover study evaluated the effects of PPIs (including dexlansoprazole) on the PK and PD of clopidogrel as well as the inhibition of platelet function using three distinct platelet function assays.

Overall, dexlansoprazole MR demonstrates a similar safety and side-effect profile as lansoprazole.

While comparative trials with many of the currently available PPIs are still lacking and unlikely to be pursued in the future, dexlansoprazole has certain pharmacological features that can markedly improve compliance and adherence.Presently, dexlansoprazole MR is indicated for the healing of erosive esophagitis (60 mg qd) for up to 8 weeks, maintenance of erosive esophagitis healing (30 mg qd) for up to 6 months and relief of symptoms of NERD patients (30 mg qd) for up to 4 weeks. Moreover, esomeprazole, but not dexlansoprazole MR or lansoprazole, significantly reduced the effect of clopidogrel on the vasodilator-stimulated phosphoprotein platelet reactivity index. Members of _ can log in with their society credentials belowProfessor of Medicine, Case Western Reserve University, Director, Division of Gastroenterology and Hepatology, Head, Esophageal and Swallowing Center, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USAThe Esophageal and Swallowing Center, Division of Gastroenterology and Hepatology, MetroHealth Medical Center and Case Western Reserve University, Cleveland, OH, USAProfessor of Medicine, Case Western Reserve University, Director, Division of Gastroenterology and Hepatology, Head, Esophageal and Swallowing Center, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USAThe Esophageal and Swallowing Center, Division of Gastroenterology and Hepatology, MetroHealth Medical Center and Case Western Reserve University, Cleveland, OH, USA Skip to: full site navigation. The e-mail addresses that you supply to use this service will not be used for any other purpose without your consent.Create a link to share a read only version of this article with your colleagues and friends. Compare Dexilant vs. Aciphex Head-to-head comparisons of medication uses, side effects, ratings, and more. By continuing to browse One study evaluated the efficacy and safety of dexlansoprazole MR in controlling symptoms in patients with NERD. The study demonstrated that rapid absorption of clopidogrel is unaffected by any of the PPIs studied including dexlansoprazole, lansoprazole, omeprazole and esomeprazole. If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. The dexlansoprazole MR capsule contains two types of granules each with a coating that dissolves at a different pH level. This is more a cautionary recommendation because evidence for significant alteration in INR/PT due to concomitant use has been rarely reported.There are conflicting data as to whether PPIs have the potential to reduce the effectiveness of clopidogrel. You can be signed in via any or all of the methods shown below at the same time.The email address and/or password entered does not match our records, please check and try again. However, there is currently, no evidence that concomitant administration of dexlansoprazole MR with diazepam, phenytoin, warfarin, or theophylline affects the PK of these drugs.Dexlansoprazole MR, as with any other medication that alters gastric pH, may interfere with the absorption of mediations in which bioavailability depends upon acidic gastric pH.Dexlansoprazole MR should not be coadministered with atazanavir, an HIV protease inhibitor, due to decreased bioavailability. Skip to: full site navigation. Aciphex is also used in combination with antibiotics to treat Helicobacter pylori (H. pylori) bacterial infections in the stomach. On the other hand, the absorption of digoxin can increase with the concomitant use of dexlansoprazole MR, so serum level monitoring of digoxin on a regular basis is recommended.

Concomitant use of dexlansoprazole MR and medications that inhibit the CYP2C19 isoenzyme can potentially increase the systemic exposure of dexlansoprazole.