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Drug interactions

Axitinib + Cimetidine

Severity: Minor

Axitinib and Cimetidine: 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

Cimetidine may modestly increase axitinib levels via CYP3A4 inhibition, although it is a weak inhibitor. Higher exposure could worsen hypertension, diarrhea or fatigue.

What this interaction means in plain words

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

Axitinib belongs to Oncology; Cimetidine belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by cimetidine reduces axitinib metabolism.

What to do

No empirical dose change is required; monitor blood pressure and tolerability, and reduce the axitinib dose if adverse effects emerge.

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 Axitinib with Cimetidine?

MediHelp rates the interaction as minor. Axitinib and Cimetidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cimetidine may modestly increase axitinib levels via CYP3A4 inhibition, although it is a weak inhibitor. Higher exposure could worsen hypertension, diarrhea or fatigue.

How serious is the interaction between Axitinib and Cimetidine?

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 empirical dose change is required; monitor blood pressure and tolerability, and reduce the axitinib dose if adverse effects emerge.

What other medicines interact with Cimetidine?

MediHelp also lists interactions of Cimetidine with, for example, Dofetilide, Fezolinetant, Alfentanil. The full list is on the Cimetidine page.

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