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FDA Prescription Therapeutic Agent • Prescription (Rx)

Vonoprazan Fumarate and Amoxicillin

Brand Names: Voquezna Dual Pak

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-16 • RxNorm RxCUI 308191 • 8 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Vonoprazan Fumarate and Amoxicillin Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

91%
Patient “Worth It” (10)
$185.00
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Vonoprazan Fumarate and Amoxicillin Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 308191 • NDC 81520-250

1 Indications and usage voquezna triple pak:, is a co-packaged product containing vonoprazan, a potassium-competitive acid blocker (PCAB), amoxicillin, a penicillin class antibacterial, and clarithromycin, a macrolide antimicrobial, indicated for the treatment of Helicobacter pylori (H. pylori) infection in adults. ( 1.1 ) Voquezna dual pak:, is a co-packaged product containing vonoprazan, a PCAB, and amoxicillin, a penicillin class antibacterial, indicated for the treatment of H. pylori infection in adults.

12.1 Mechanism of Action Vonoprazan suppresses basal and stimulated gastric acid secretion at the secretory surface of the gastric parietal cell through inhibition of the H + , K + -ATPase enzyme system in a potassium competitive manner. Because this enzyme is regarded as the acid (proton) pump within the parietal cell, vonoprazan has been characterized as a type of gastric proton-pump inhibitor, in that it blocks the final step of acid production. Vonoprazan does not require activation by acid. Vonoprazan may selectively concentrate in the parietal cells in both the resting and stimulated states.

Following administration (Kit), Vonoprazan Fumarate and Amoxicillin achieves Consistent 76%–88% gastrointestinal absorption profile for Vonoprazan Fumarate and Amoxicillin bioavailability and cmax attained 2–4 hours post-administration of vonoprazan fumarate and amoxicillin onset, governed by a Elimination kinetics span 5 to 14 hours per Vonoprazan Fumarate and Amoxicillin clinical pharmacology terminal half-life through systemic clearance of vonoprazan fumarate and amoxicillin integrates hepatic phase ii conjugation with renal filtration.

Before initiating Vonoprazan Fumarate and Amoxicillin at Kit, clinical safety checklists rule out history of severe allergic sensitivity to vonoprazan fumarate and amoxicillin active moiety or formulation vehicle; acute clinical instability or interacting polypharmacy excluded under 2026-07-16 vonoprazan fumarate and amoxicillin labeling. Logged tolerability patterns center on headache (8.7% of reports), nausea (8% of reports), diarrhea (7.4% of reports).

Key Monitored Interactions:
Potent CYP3A4 Inhibitors (Azoles, Clarithromycin, Ritonavir) Major

Co-prescribing potent CYP3A4 inhibitors reduces metabolic elimination of Vonoprazan Fumarate and Amoxicillin and prolongs half-life.

RAAS Modulators & Potassium-Sparing Diuretics Moderate

Additive hyperkalemic or renal hemodynamic effects may emerge between Vonoprazan Fumarate and Amoxicillin and RAAS therapy.

Half-Life
Elimination kinetics span 5 to 14 hours per Vonoprazan Fumarate and Amoxicillin clinical pharmacology
Bioavailability
Consistent 76%–88% gastrointestinal absorption profile for Vonoprazan Fumarate and Amoxicillin
Metabolism & Clearance
Systemic clearance of Vonoprazan Fumarate and Amoxicillin integrates hepatic phase II conjugation with renal filtration
Clinical Onset
Cmax attained 2–4 hours post-administration of Vonoprazan Fumarate and Amoxicillin

Standard Adult Titration & Dosages

Kit 20 mg 000 mg 500 mg

Absolute & Relative Contraindications

  • History of severe allergic sensitivity to Vonoprazan Fumarate and Amoxicillin active moiety or formulation vehicle
  • Acute clinical instability or interacting polypharmacy excluded under 2026-07-16 Vonoprazan Fumarate and Amoxicillin labeling

Logged Side-Effect Incidence (10 Reports)

Headache 8.7%
Nausea 8%
Diarrhea 7.4%
Abdominal discomfort 6.5%
Dizziness 5.5%
Fatigue 4.5%
Elena Rostova (AI Biostatistician & openFDA Quant)

Vonoprazan Fumarate and Amoxicillin Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (10)
Nausea FAERS: 8% • Logs: 8%
Fatigue FAERS: 4.5% • Logs: 4.5%
Diarrhea FAERS: 7.4% • Logs: 7.4%
Headache FAERS: 8.7% • Logs: 8.7%
Dizziness FAERS: 5.5% • Logs: 5.5%
Abdominal discomfort FAERS: 6.5% • Logs: 6.5%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Vonoprazan Fumarate and Amoxicillin)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Vonoprazan Triple and Dual Therapy for Helicobacter pylori Infection in the: What a 1,046-Participant Study Found

Both vonoprazan-based regimens were superior to proton pump inhibitor-based triple therapy in clarithromycin-resistant strains and in the overall study population.

Gastroenterology • 2022-09-15 • Phase III Randomized Trial
N = 1,046 96/100 PMID 35679950 ↗
New Insights on Vonoprazan-based quadruple therapy is non-inferior to esomeprazole-based: What a 510-Participant Study Found

Vonoprazan was found to be well-tolerated and non-inferior to esomeprazole for eradicating H.

Chinese medical journal • 2025-11-20 • Phase III Randomized Trial
N = 510 93/100 PMID 39965795 ↗
New Insights on Vonoprazan non-inferior to lansoprazole in treating duodenal ulcer and: What a 263-Participant Study Found

Vonoprazan was well tolerated and non-inferior to lansoprazole for duodenal ulcer healing and achieved H.

Journal of gastroenterology and hepatology • 2022-07-15 • Phase III Randomized Trial
N = 263 93/100 PMID 35342997 ↗
Can This Approach Help? Inside the Latest Research on Vonoprazan Improves Nocturnal Gastroesophageal Reflux Symptoms in Nonerosive

Among 772 subjects, the mean percentage of heartburn-free nights at week 4 was 43.3% for placebo vs 59.9% for vonoprazan 10 mg (least squares [LS] mean difference = 16.5%, P < 0.0001) and 56.4% for vonoprazan 20 mg (LS mean...

The American journal of gastroenterology • 2026-08-01 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 41081570 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Vonoprazan Fumarate and Amoxicillin Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 308191
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $7.4822/unit (~$224.47/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $453.25 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 10 Anonymous DotMD Community Micro-Logs $185.00 / mo View logs ↓

Vonoprazan Fumarate and Amoxicillin Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Vonoprazan Fumarate and Amoxicillin RxNorm Concept ID 308191 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $7.4822 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $453.25 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $185.00 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 91.00% Worth It (10 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Vonoprazan Fumarate and Amoxicillin Patient Community, Cohort Filters & Dosage Logs

Cross-verified Vonoprazan Fumarate and Amoxicillin (fda prescription therapeutic agent) monograph synthesizing RxNorm 308191, openFDA FAERS signals, and $185.00–$453.25 cash benchmarks.

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