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Drug interactions

Azathioprine + Basiliximab

Severity: Moderate

Azathioprine and Basiliximab: 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

Basiliximab is routinely given with azathioprine-containing transplant regimens, so the combination is intended. Overall immunosuppression increases infection risk as with any multidrug regimen.

What this interaction means in plain words

Azathioprine and Basiliximab 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.

Azathioprine belongs to Gastrointestinal Tract; Basiliximab belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Additive immunosuppression from IL-2 receptor blockade and thiopurine activity.

What to do

Use under transplant specialist supervision and monitor for infection and white blood cell counts.

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 Azathioprine with Basiliximab?

MediHelp rates the interaction as moderate. Azathioprine and Basiliximab 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. Basiliximab is routinely given with azathioprine-containing transplant regimens, so the combination is intended. Overall immunosuppression increases infection risk as with any multidrug regimen.

How serious is the interaction between Azathioprine and Basiliximab?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use under transplant specialist supervision and monitor for infection and white blood cell counts.

What other medicines interact with Azathioprine?

MediHelp also lists interactions of Azathioprine with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Febuxostat. The full list is on the Azathioprine page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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