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Drug interactions

Amoxicillin-clavulanic acid + Valoctocogene roxaparvovec

Severity: Moderate

Amoxicillin-clavulanic acid and Valoctocogene roxaparvovec: 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

Valoctocogene roxaparvovec commonly causes transaminase elevations after infusion. Amoxicillin-clavulanate is a recognized cause of drug-induced liver injury, so the combination may add to hepatic risk or confound interpretation of liver enzyme rises.

What this interaction means in plain words

Amoxicillin-clavulanic acid and Valoctocogene roxaparvovec 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.

Amoxicillin-clavulanic acid belongs to Anti Bacterial; Valoctocogene roxaparvovec belongs to Miscellaneous.

Evidence level: Low

Why it happens

Additive hepatotoxic potential from gene therapy-related hepatitis and clavulanate-associated idiosyncratic liver injury.

What to do

Monitor ALT and other liver tests closely during and after gene therapy, and consider a non-hepatotoxic antibiotic when an alternative is suitable.

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 Amoxicillin-clavulanic acid with Valoctocogene roxaparvovec?

MediHelp rates the interaction as moderate. Amoxicillin-clavulanic acid and Valoctocogene roxaparvovec 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. Valoctocogene roxaparvovec commonly causes transaminase elevations after infusion. Amoxicillin-clavulanate is a recognized cause of drug-induced liver injury, so the combination may add to hepatic risk or confound interpretation of liver enzyme rises.

How serious is the interaction between Amoxicillin-clavulanic acid and Valoctocogene roxaparvovec?

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 ALT and other liver tests closely during and after gene therapy, and consider a non-hepatotoxic antibiotic when an alternative is suitable.

What other medicines interact with Amoxicillin-clavulanic acid?

MediHelp also lists interactions of Amoxicillin-clavulanic acid with, for example, Methotrexate, Pexidartinib, Pretomanid. The full list is on the Amoxicillin-clavulanic acid page.

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