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Drug interactions

Azelastine + Fedratinib

Severity: Minor

Azelastine and Fedratinib: 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

Fedratinib is metabolized by CYP3A4, and azelastine is not a recognized strong dual CYP3A4/CYP2C19 inhibitor. A clinically meaningful rise in fedratinib exposure is not well established.

What this interaction means in plain words

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

Azelastine belongs to Respiratory; Fedratinib belongs to Oncology.

Evidence level: Low

Why it happens

Possible weak CYP inhibition by azelastine; the mechanism is not well established.

What to do

No routine adjustment is needed. Monitor for fedratinib toxicity such as gastrointestinal effects and anemia.

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 Azelastine with Fedratinib?

MediHelp rates the interaction as minor. Azelastine and Fedratinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fedratinib is metabolized by CYP3A4, and azelastine is not a recognized strong dual CYP3A4/CYP2C19 inhibitor. A clinically meaningful rise in fedratinib exposure is not well established.

How serious is the interaction between Azelastine and Fedratinib?

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 adjustment is needed. Monitor for fedratinib toxicity such as gastrointestinal effects and anemia.

What other medicines interact with Azelastine?

MediHelp also lists interactions of Azelastine with, for example, Calcium / magnesium / potassium / sodium oxybates, Methadone, Sodium oxybate. The full list is on the Azelastine page.

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