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vonoprazan

Potassium-competitive acid blocker · Antacid

Potassium-competitive acid blockerAntacid
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

Potassium-competitive acid blockers are weak bases that bind competitively and reversibly to the potassium binding site of the H+/K+-ATPase following protonation. This prevents access of K+ cations to their binding site, blocking activation of the H+/K+-ATPase.

Indications

Gastroduodenal ulcersHealing and prevention of erosive esophagitisGastric protection in patients taking aspirin or NSAIDsHelicobacter pylori eradicationGastroesophageal reflux disease

Dosing

Adult
10–20 mg daily

Pharmacokinetics

Onset
Early onset of action with immediate full effect from the first dose.
Half-life
2 to 9 h
Metabolism
Mainly metabolized in the liver via CYP3A4/5.

Side effects

Common
DiarrheaNasopharyngitisDyspepsiaHeadacheAbdominal pain

Related guidelines

Other Potassium-competitive acid blocker drugs

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team