Nizatidine Dapsone

Deravirdine (Rescnptor) [Antiretroviral/NNRTI] Uses HIV Infxn Action Nonnucleoside RT inhibitor Dose 400 mg PO tid Caution [C, ] CDC recommends HIV-infected mothers not to breast-feed (transmission risk) w/ renal/hepatic impair Contra Use w/ drugs dependent on CYP3A for clearance (Table VI-8) Disp Tabs SE Fat redistribution, immune reconstitution synd, HA, fatigue, rash, T transaminases, N/V/D Interactions T Effects W/ fluoxetine T effects OF benzodiazepines, cisapride, clarithromycin, dapsone, ergotamine, indinavir, lovastatin, midazolam, nifedipine, quinidine, ritonavir, simvastatin, terfena-dine, triazolam, warfarin effects W/ antacids, barbiturates, carbamazepine, cimetidine, famotidine, lansoprazole, nizatidine, phenobarbital, phenytoin, ranitidine, rifabutin, rifampin effects OF didanosine EMS Use of benzodiazepines and CCBs should be avoided may cause a widespread rash located on upper body and arms OD May cause an extension of nl SEs symptomatic and supportive Deferasirox (Exjade) [Iron Chelator] Uses Chronic iron overload d/t transfusion in pts >2 y Action Oral iron chelator Dose Initial 20 mg/kg... 

In a randomized, crossover, open study in 16 healthy volunteers a rise in gastric pH to above 6 by nizatidine did not result in clinically important changes in the rate or extent of absorption of oral dapsone (2). 

Itokazu GS, Fischer JH, Manitpisitkul P, Hariharan R, Danziger LH. Lack of effect of nizatidine-induced elevation of gastric pH on the oral bioavaUabUity of dapsone in healthy volunteers. Pharmacotherapy 2002 22(ll) 1420-5. 

Cimetidine raises serum dapsone ievels, and may reduce methaemoglobinaemia due to dapsone. Cimetidine, ranitidine and omeprazole do not appear to affect the outcome of dapsone prophylaxis against Pneumocystis pneumonia. The absorption of dapsone does not appear to be altered by nizatidine-induced increases in gastric pH. 

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