Rabitop 20 Rabeprazole Sodium Methotrexate
ModeratePPIs can delay methotrexate elimination, raising toxicity risk, mainly with high doses.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.
What to do: Consider temporarily stopping the PPI with high-dose methotrexate; monitor levels.