Tenapanor interactions

Tenapanor (Ibsrela, Xphozah) has 4 documented interactions across the FDA labels and fact sheets we index: 0 major, 4 moderate, 0 minor, and 0 where a label reports no significant interaction. Each entry below quotes the sentence behind it. This drug page is a starting point, not a verdict for your situation.

Interactions from the label

Moderate interactions (4)

  • EnalaprilACE inhibitorModerate

    OATP2B1 Substrates: Potential for reduced exposure of the concomitant drug (e.g., enalapril). (Tenapanor label, Drug interactions)

  • OATP2B1 Substrates: Potential for reduced exposure of the concomitant drug (e.g., enalapril). (Tenapanor label, Drug interactions)

  • EnalaprilatACE inhibitorModerate

    When enalapril was coadministered with XPHOZAH (30 mg twice daily for five days), the peak exposure (C max ) of enalapril and its active metabolite, enalaprilat, decreased by approximately 70% and total systemic exposures (AUC) decreased by 50 to 65% compared to when enalapril was administered alone [see Clinical Pharmacology (12.3) ] . (Tenapanor label, Drug interactions)

  • Sodium polystyrene sulfonatepotassium supplementModerate

    Sodium Polystyrene Sulfonate (SPS): Separate administration by at least three hours ( 7.2 ). (Tenapanor label, Drug interactions)

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Not medical advice. Severity reflects the label's wording, not your circumstances. A "major" flag can be routine under supervision and a "minor" one can matter at high doses. Ask a pharmacist.