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Drug interactions

Bendamustine + Leniolisib

Severity: Moderate

Bendamustine and Leniolisib: 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

Leniolisib can inhibit CYP1A2 and may increase exposure to CYP1A2 substrates. Bendamustine is partly metabolized by CYP1A2, but its main route is hydrolysis, so any effect is probably modest.

What this interaction means in plain words

Bendamustine and Leniolisib 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.

Bendamustine belongs to Oncology; Leniolisib belongs to Miscellaneous.

Evidence level: Low

Why it happens

Leniolisib inhibits CYP1A2, reducing the metabolism of bendamustine.

What to do

Monitor blood counts and bendamustine toxicity during co-use. Consider an alternative if cytopenias worsen.

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 Bendamustine with Leniolisib?

MediHelp rates the interaction as moderate. Bendamustine and Leniolisib 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. Leniolisib can inhibit CYP1A2 and may increase exposure to CYP1A2 substrates. Bendamustine is partly metabolized by CYP1A2, but its main route is hydrolysis, so any effect is probably modest.

How serious is the interaction between Bendamustine and Leniolisib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts and bendamustine toxicity during co-use. Consider an alternative if cytopenias worsen.

What other medicines interact with Bendamustine?

MediHelp also lists interactions of Bendamustine with, for example, Axicabtagene ciloleucel, Brexucabtagene autoleucel, Chlorambucil. The full list is on the Bendamustine page.

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