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Drug interactions

Apalutamide + Chlorpheniramine

Severity: Minor

Apalutamide and Chlorpheniramine: minor 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

Apalutamide may reduce chlorpheniramine levels, leading to diminished antihistaminic effect. The consequence is typically minor and easily managed.

What this interaction means in plain words

Apalutamide and Chlorpheniramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Apalutamide belongs to Endocrine; Chlorpheniramine belongs to Respiratory.

Evidence level: Low

Why it happens

CYP3A4 induction increases chlorpheniramine metabolism.

What to do

No routine action is needed; increase dose or switch antihistamine if symptom control is lost.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Apalutamide with Chlorpheniramine?

MediHelp rates the interaction as minor. Apalutamide and Chlorpheniramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Apalutamide may reduce chlorpheniramine levels, leading to diminished antihistaminic effect. The consequence is typically minor and easily managed.

How serious is the interaction between Apalutamide and Chlorpheniramine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine action is needed; increase dose or switch antihistamine if symptom control is lost.

What other medicines interact with Apalutamide?

MediHelp also lists interactions of Apalutamide with, for example, Cabotegravir, Cobicistat, Doravirine. The full list is on the Apalutamide page.

Full monographs, dosing and an interaction checker in the MediHelp app

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