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Drug interactions

Anakinra + Muromonab cd3

Severity: Major

Anakinra and Muromonab cd3: major 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

Muromonab-CD3 causes profound T-cell depletion, and adding anakinra may further increase the risk of serious and opportunistic infections. Muromonab-CD3 has been withdrawn from the market, so this combination is rarely encountered.

What this interaction means in plain words

Anakinra and Muromonab cd3 can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Low

Why it happens

Additive immunosuppression from IL-1 blockade and anti-CD3 T-cell depletion.

What to do

Avoid the combination; if historical or compassionate use occurs, monitor closely for infection and consider prophylaxis.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Anakinra with Muromonab cd3?

MediHelp rates the interaction as major. Anakinra and Muromonab cd3 can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Muromonab-CD3 causes profound T-cell depletion, and adding anakinra may further increase the risk of serious and opportunistic infections. Muromonab-CD3 has been withdrawn from the market, so this combination is rarely encountered.

How serious is the interaction between Anakinra and Muromonab cd3?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; if historical or compassionate use occurs, monitor closely for infection and consider prophylaxis.

What other medicines interact with Anakinra?

MediHelp also lists interactions of Anakinra with, for example, Bcg vaccine live, Measles mumps and rubella vaccine, Measles mumps and rubella vaccine live. The full list is on the Anakinra page.

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