Description
Dexlansoprazole is used to treat certain conditions in which there is too much acid in the stomach. It is used to treat erosive esophagitis or "heartburn" caused by gastroesophageal reflux disease (GERD), a condition where the acid in the stomach washes back up into the esophagus.
Dexlansoprazole is a proton pump inhibitor (PPI). It works by decreasing the amount of acid produced by the stomach.
This medicine is available only with your doctor's prescription.
On October 17, 2017, Dexilant Solutab® (delayed-release disintegrating tablets) was withdrawn from the US market. Dexilant® and Kapidex® (delayed-release capsules) are still available.
This product is available in the following dosage forms:
- Capsule, Delayed Release
Before Using
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies have not been performed on the relationship of age to the effects of dexlansoprazole in children younger than 12 years of age. Safety and efficacy have not been established. Dexilant is not recommended in children younger than 2 years of age and may increase the risk for heart problems (eg, heart valve thickening).
Geriatric
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of dexlansoprazole in the elderly. However, elderly patients are more sensitive to the effects of this medicine than younger adults.
Breastfeeding
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
- Rilpivirine
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Acalabrutinib
- Amphetamine
- Atazanavir
- Atezolizumab
- Belumosudil
- Benzphetamine
- Bosutinib
- Capecitabine
- Carbamazepine
- Cefuroxime Axetil
- Dacomitinib
- Dasatinib
- Dextroamphetamine
- Erlotinib
- Fedratinib
- Fluconazole
- Gefitinib
- Infigratinib
- Ketoconazole
- Ledipasvir
- Levoketoconazole
- Lisdexamfetamine
- Lonafarnib
- Mavacamten
- Methamphetamine
- Methotrexate
- Methylphenidate
- Mycophenolate Mofetil
- Nelfinavir
- Neratinib
- Nilotinib
- Nirogacestat
- Nivolumab
- Octreotide
- Palbociclib
- Pazopanib
- Pexidartinib
- Saquinavir
- Secretin Human
- Selpercatinib
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Clopidogrel
- Itraconazole
- Levothyroxine
- Warfarin
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.
- Cranberry
Other Medical Problems
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
- Diarrhea or
- Hypomagnesemia (low magnesium in the blood), history of or
- Osteoporosis (bone problem) or
- Seizures, history of or
- Systemic lupus erythematosus (SLE)—Use with caution. May make these conditions worse.
- Liver disease, moderate—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
Proper Use
Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.
This medicine comes with a Medication Guide and patient instructions. Read and follow the instructions carefully. Ask your doctor if you have any questions.
If you are taking the delayed-release capsule:
- You may take this medicine with or without food.
- Swallow it whole. If you cannot swallow the capsule whole, you may open it and pour the contents into a tablespoon of applesauce. Swallow the mixture right away without chewing. Do not store the mixed medicine for later use.
- If Dexilant® is given through an oral syringe: Open the capsule and pour the medicine into a clean container with 20 milliliters (mL) of water. Use an oral syringe to draw up the water and granule mixture. Swirl the syringe gently to keep the granules from settling. Give the mixture directly into the mouth right away. Do not store the mixed medicine for later use. To rinse any leftover medicine in the syringe, refill the syringe with 10 mL of water, swirl gently and swallow the water. Repeat with an additional 10 mL of water.
- If Dexilant® is given through a feeding tube: Open the capsule and pour the medicine into a clean container with 20 mL of water. Get the mixed medicine into a catheter-tip syringe. Swirl the syringe gently to keep the granules from settling, and inject the medicine into the NG tube right away. Refill the syringe with the 10 mL of water. Swirl it gently, and inject it into the tube to rinse any leftover medicine through the tube. Repeat with an additional 10 mL of water.
Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.
Dosing
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For oral dosage form (delayed-release capsules):
- For treatment of erosive esophagitis (EE):
- Adults and children 12 years of age and older—60 milligrams (mg) once a day for up to 8 weeks. To prevent erosive esophagitis from coming back and for relief of heartburn, your doctor may want you to take 30 mg once a day for up to 6 months.
- Children younger than 12 years of age—Use and dose must be determined by your doctor.
- Children younger than 2 years of age—Use of Dexilant is not recommended.
- For treatment of gastroesophageal reflux disease (GERD):
- Adults and children 12 years of age and older—30 milligrams (mg) once a day for 4 weeks.
- Children younger than 12 years of age—Use and dose must be determined by your doctor.
- Children younger than 2 years of age—Use of Dexilant is not recommended.
- For treatment of erosive esophagitis (EE):
Missed Dose
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Storage
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Precautions
It is important that your doctor check your or your child's progress at regular visits. This will allow your doctor to see if this medicine is working properly and to decide if you should continue to take it. Blood, urine, and other laboratory tests may be needed to check for unwanted effects.
Do not take this medicine if you are also using products that contain rilpivirine (Complera®, Edurant®). Using these medicines together may cause unwanted side effects.
This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and requires immediate medical attention. Check with your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.
Check with your doctor right away if you or your child has a change in frequency of urination or amount of urine, blood in the urine, fever, joint pain, loss of appetite, skin rash, swelling of the body, feet, or ankles, unusual tiredness or weakness, or unusual weight gain after receiving this medicine. These could be symptoms of a serious kidney problem called acute tubulointerstitial nephritis.
Taking this medicine for a long time may make it harder for your body to absorb vitamin B12. Tell your doctor if you have concerns about vitamin B12 deficiency.
Serious stomach conditions may occur while taking this medicine. Check with your doctor immediately if you or your child has stomach cramps, bloated feeling, watery and severe diarrhea which may also be bloody sometimes, fever, nausea or vomiting, or unusual tiredness or weakness.
Dexlansoprazole may increase your risk of having fractures of the hip, wrist, and spine. This is more likely if you are 50 years of age and older, if you receive high doses of this medicine, or use it for one year or more. Call your doctor right away if you have severe bone pain or are unable to walk or sit normally.
Cutaneous or systemic lupus erythematosus may occur or get worse in patients receiving a PPI. Call your doctor right away if you have joint pain or a skin rash on your cheeks or arms that gets worse when exposed to the sun.
This medicine may cause serious skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis, acute generalized exanthematous pustulosis, and drug reaction with eosinophilia and systemic symptoms (DRESS). Check with your doctor right away if you have black, tarry stools, blistering, peeling, or loosening of the skin, chest pain, chills, cough, diarrhea, itching, joint or muscle pain, painful or difficult urination, red irritated eyes, red skin lesions, often with a purple center, sore throat, sores, ulcers, or white spots in the mouth or on the lips, swollen glands, unusual bleeding or bruising, or unusual tiredness or weakness.
This medicine may cause hypomagnesemia (low magnesium in the blood). This is more likely to occur if you are taking this medicine for more than 1 year, or if you are taking this medicine together with digoxin (Lanoxin®) or certain diuretics (water pills). Check with your doctor right away if you have convulsions (seizures), fast, racing, or uneven heartbeat, muscle spasms (tetany), tremors, or unusual tiredness or weakness.
This medicine may increase your risk for fundic gland polyps (abnormal tissue growth in the upper part of your stomach). This is more likely if you are receiving this medicine for more than 1 year. Talk to your doctor if you have concerns.
Do not stop taking this medicine without first checking with your doctor, or unless told to do so by your doctor.
Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before you have medical tests.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription (eg, atazanavir, nelfinavir, Reyataz®, Viracept®) or nonprescription (over-the-counter [OTC]) medicines and herbal (eg, St. John's wort) or vitamin supplements.
Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Less common
- Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
- chest pain, discomfort, tightness, or heaviness
- confusion
- continuing stomach pain
- diarrhea
- difficult or labored breathing
- fast, irregular, pounding, or racing heartbeat or pulse
- fever
- headache
- incoherent speech
- joint pain, stiffness, or swelling
- lightheadedness, dizziness, or fainting
- muscle pain, cramps, or weakness
- nausea
- numbness or tingling in the hands, feet, or lips
- pain or discomfort in the arms, jaw, leg, back, or neck
- pounding in the ears
- rash, hives
- shakiness in the legs, arms, hands, or feet
- sweating
- swelling of the eyelids, face, lips, hands, or feet
- swollen, painful, or tender lymph glands in the neck, armpit, or groin
- unusual bleeding or bruising
- vomiting
- vomiting of blood or material that looks like coffee grounds
- watery or bloody diarrhea
Incidence not known
- Black, tarry stools
- blistering, peeling, or loosening of the skin
- blood in the urine
- bloody nose
- bone fracture
- chills
- confusion
- cough
- decreased urine output
- drowsiness
- dry mouth
- heavier menstrual periods
- increased thirst
- itching
- joint or muscle pain
- loss of appetite
- mood or mental changes
- muscle cramps in the hands, arms, feet, legs, or face
- muscle spasms (tetany) or twitching
- numbness and tingling around the mouth, fingertips, or feet
- painful or difficult urination
- pinpoint red spots on the skin
- red skin lesions, often with a purple center
- red, irritated eyes
- seizures
- sore throat
- sores, ulcers, or white spots in the mouth or on the lips
- stomach cramps
- swelling of the body, feet, or ankles
- swollen glands
- trembling
- trouble speaking, thinking or walking
- unusual tiredness or weakness
- unusual weight gain
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common
- Abnormal dreams
- body aches or pain
- bloated or full feeling
- burning or itching around the anus
- change in taste or bad, unusual, or unpleasant (after) taste
- continuing ringing or buzzing or other unexplained noise in the ears
- difficult or painful urination
- difficulty with moving
- ear congestion
- ear pain
- excess air or gas in the stomach or bowels
- falls
- feeling of constant movement of self or surroundings
- loss in sexual ability, desire, drive, or performance
- loss of voice
- metallic taste
- muscle or bone pain
- passing gas
- redness of the face, neck, arms, and occasionally, upper chest
- runny or stuffy nose
- sensation of spinning
- sneezing
- sunburn
- trouble sleeping
Incidence not known
- Blurred vision
- decreased interest in sexual intercourse
- inability to have or keep an erection
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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