Drug interactions
Atazanavir + Liposomal doxorubicin
Severity: Minor
Atazanavir and Liposomal doxorubicin: 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
Atazanavir inhibits CYP3A4 and may raise doxorubicin exposure. Liposomal formulation alters distribution and CYP3A4 plays a minor role in clearance, so the effect is likely modest. Increased toxicity is possible.
What this interaction means in plain words
Atazanavir and Liposomal doxorubicin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Atazanavir belongs to Anti Virals; Liposomal doxorubicin belongs to Oncology.
Why it happens
Atazanavir inhibits CYP3A4, potentially reducing doxorubicin metabolism.
What to do
No empiric dose change; monitor blood counts, mucocutaneous toxicity and cardiac function.
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?
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Other interactions of Liposomal doxorubicin
- Dengue vaccine + Liposomal doxorubicin Contraindicated
- Belatacept + Liposomal doxorubicin Major
- Cyclosporine + Liposomal doxorubicin Major
- Dronedarone + Liposomal doxorubicin Major
- Elvitegravir / cobicistat / emtricitabine / tenofovir df + Liposomal doxorubicin Major
- Fingolimod + Liposomal doxorubicin Major
Other interactions of Atazanavir
- Alfuzosin + Atazanavir Contraindicated
- Atazanavir + Avanafil Contraindicated
- Atazanavir + Dronedarone Contraindicated
- Atazanavir + Eletriptan Contraindicated
- Atazanavir + Eplerenone Contraindicated
- Atazanavir + Ergotamine Contraindicated
Frequently asked questions
Can I take Atazanavir with Liposomal doxorubicin?
MediHelp rates the interaction as minor. Atazanavir and Liposomal doxorubicin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Atazanavir inhibits CYP3A4 and may raise doxorubicin exposure. Liposomal formulation alters distribution and CYP3A4 plays a minor role in clearance, so the effect is likely modest. Increased toxicity is possible.
How serious is the interaction between Atazanavir and Liposomal doxorubicin?
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 empiric dose change; monitor blood counts, mucocutaneous toxicity and cardiac function.
What other medicines interact with Liposomal doxorubicin?
MediHelp also lists interactions of Liposomal doxorubicin with, for example, Dengue vaccine, Belatacept, Cyclosporine. The full list is on the Liposomal doxorubicin page.
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