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Drug interactions

Bicalutamide + Cabozantinib

Severity: Minor

Bicalutamide and Cabozantinib: 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

Cabozantinib is a CYP3A4 substrate, but bicalutamide is only a weak inhibitor, so any increase in exposure is likely small. Awareness of adverse effects is reasonable.

What this interaction means in plain words

Bicalutamide and Cabozantinib 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; Cabozantinib belongs to Oncology.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by bicalutamide may slightly reduce cabozantinib clearance.

What to do

No dose change is needed; monitor for cabozantinib toxicities such as diarrhea, hypertension and hand-foot syndrome.

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 Cabozantinib?

MediHelp rates the interaction as minor. Bicalutamide and Cabozantinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cabozantinib is a CYP3A4 substrate, but bicalutamide is only a weak inhibitor, so any increase in exposure is likely small. Awareness of adverse effects is reasonable.

How serious is the interaction between Bicalutamide and Cabozantinib?

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 change is needed; monitor for cabozantinib toxicities such as diarrhea, hypertension and hand-foot syndrome.

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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