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Drug interactions

Amantadine + Erdafitinib

Severity: Moderate

Amantadine and Erdafitinib: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Amantadine is cleared by renal tubular secretion through OCT2. Erdafitinib inhibits OCT2 and may raise amantadine concentrations, increasing the risk of confusion, hallucinations and other CNS effects.

What this interaction means in plain words

Amantadine and Erdafitinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amantadine belongs to Anti Virals; Erdafitinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Inhibition of OCT2-mediated renal tubular secretion of amantadine.

What to do

Monitor for amantadine toxicity and consider reducing its dose based on tolerability. Use an alternative that is not an OCT2 substrate if toxicity develops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amantadine with Erdafitinib?

MediHelp rates the interaction as moderate. Amantadine and Erdafitinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Amantadine is cleared by renal tubular secretion through OCT2. Erdafitinib inhibits OCT2 and may raise amantadine concentrations, increasing the risk of confusion, hallucinations and other CNS effects.

How serious is the interaction between Amantadine and Erdafitinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for amantadine toxicity and consider reducing its dose based on tolerability. Use an alternative that is not an OCT2 substrate if toxicity develops.

What other medicines interact with Amantadine?

MediHelp also lists interactions of Amantadine with, for example, Ethanol, Memantine-donepezil, Metoclopramide. The full list is on the Amantadine page.

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