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Drug interactions

Berotralstat + Paclitaxel

Severity: Moderate

Berotralstat and Paclitaxel: 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

Berotralstat inhibits P-glycoprotein and may raise paclitaxel concentrations. This could increase neutropenia and neuropathy, though clinical data are limited.

What this interaction means in plain words

Berotralstat and Paclitaxel 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.

Berotralstat belongs to Miscellaneous; Paclitaxel belongs to Oncology.

Evidence level: Low

Why it happens

P-glycoprotein inhibition by berotralstat reduces paclitaxel efflux and clearance.

What to do

Monitor blood counts and neuropathy symptoms. Reduce the paclitaxel dose if toxicity increases.

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 Berotralstat with Paclitaxel?

MediHelp rates the interaction as moderate. Berotralstat and Paclitaxel 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. Berotralstat inhibits P-glycoprotein and may raise paclitaxel concentrations. This could increase neutropenia and neuropathy, though clinical data are limited.

How serious is the interaction between Berotralstat and Paclitaxel?

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 neuropathy symptoms. Reduce the paclitaxel dose if toxicity increases.

What other medicines interact with Paclitaxel?

MediHelp also lists interactions of Paclitaxel with, for example, Adenovirus types 4 and 7 live, Cobicistat, Cyclosporin. The full list is on the Paclitaxel 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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