Sucralfate Ketoconazole

There is a decreased absorption of lansoprazole when it is administered with sucralfate Lansoprazole may decrease tiie effects of ketoconazole, iron salts, and digoxin. When lansoprazole is administered with theophylline, there is an... 

Drugs that affect NSAIDs include the following Bisphosphonates, cholestyramine, cimetidine, colestipol, cyclosporine, diflunisal, DMSO, fluconazole, ketoconazole, phenobarbital, phenylbutazone, probenecid, rifampin, ritonavir, salicylates, sucralfate. 

Drugs that may be affected by proton pump inhibitors include azole antifungal agents (eg, itraconazole, ketoconazole), benzodiazepines, cilostazol, clarithromycin, digoxin, phenytoin, salicylates, sulfonylureas, and warfarin. Drugs that may affect proton pump inhibitors include sucralfate and clarithromycin. 

Drugs that may affect ketoconazole include antacids, didanosine, histamine H2 antagonists, isoniazid, sucralfate, proton pump inhibitors, and rifampin. Drugs that may be affected by ketoconazole include oral anticoagulants, corticosteroids, cyclosporine, protease inhibitors, tricyclic antidepressants, carbamazepine. 

SUCRALFATE ANTIFUNGALS- KETOCONAZOLE 1 ketoconazole levels 1 absorption of ketoconazole Separate doses by at least 2-3 hours... 

Clinically important, potentially hazardous interactions with aminophylline, amprenavir, antacids, carbamazepine, carmustine, chlorpheniramine, clarithromycin, efavirenz, esomeprazole, imatinib, indinavir, itraconazole, ketoconazole, MAO inhibitors, midazolam, modobemide, nelfinavir, phenytoin, sucralfate, warfarin... 

The most common side effect of sucralfate is constipation (-2%). some aluminum can be absorbed, sucralfate should be avoided in patients with renal failure who are at risk for aluminum overload. Likewise, aluminum-containing antacids should not be combined with sucralfate in these patients. Sucralfate forms a viscous layer in the stomach that may inhibit absorption of other drugs, including phenytoin, digoxin, cimetidine, ketoconazole, and fluoroquinolone antibiotics. 

The gastrointestinal absorption of ketoconazole is modestly reduced by sucralfate. The absorption of fluconazole appears not be to significantly affected by sucralfate. 

There is in vitro evidence that an electrostatic interaction occurs between ketoconazole and sucralfate to form an ion pair that caimot pass through the gut wall. ... 

The interaction of sucralfate with ketoconazole is modest and of uncertain clinical importance. Any interaction may be minimised by taking sucralfate not less than 2 to 3 hours before or after the ketoconazole. Fluconazole does not interact with sucralfate. 

Piscitelli SC, Goss TF, Wilton JH, D Andrea DT, Goldstein H, Schentag JJ. Effects of ranitidine and sucralfate on ketoconazole bioavaUabiUty. Antimicrob Agents Chemother (1991) 35, 1765-71. 

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