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Drug interactions

Bicalutamide + Cabazitaxel

Severity: Minor

Bicalutamide and Cabazitaxel: 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

Bicalutamide is a weak CYP3A4 inhibitor in vitro, and cabazitaxel is a CYP3A4 substrate. Clinically significant increases are unlikely, and the two are commonly used in prostate cancer.

What this interaction means in plain words

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

Bicalutamide belongs to Endocrine; Cabazitaxel belongs to Oncology.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by bicalutamide may slightly reduce cabazitaxel metabolism.

What to do

No dose adjustment is needed; monitor neutrophil counts as per routine cabazitaxel care.

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 Bicalutamide with Cabazitaxel?

MediHelp rates the interaction as minor. Bicalutamide and Cabazitaxel have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Bicalutamide is a weak CYP3A4 inhibitor in vitro, and cabazitaxel is a CYP3A4 substrate. Clinically significant increases are unlikely, and the two are commonly used in prostate cancer.

How serious is the interaction between Bicalutamide and Cabazitaxel?

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 dose adjustment is needed; monitor neutrophil counts as per routine cabazitaxel care.

What other medicines interact with Bicalutamide?

MediHelp also lists interactions of Bicalutamide with, for example, Lomitapide, Aminolevulinic acid, Eliglustat. The full list is on the Bicalutamide page.

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