Drug interactions
Bicalutamide + Fentanyl intranasal
Severity: Minor
Bicalutamide and Fentanyl intranasal: 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 only a weak CYP3A4 inhibitor, so any rise in fentanyl exposure is expected to be small. A clinically important effect is unlikely, though fentanyl overdose causes respiratory depression and sedation.
What this interaction means in plain words
Bicalutamide and Fentanyl intranasal have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Weak inhibition of CYP3A4-mediated fentanyl metabolism by bicalutamide.
What to do
No dose change is usually needed; observe for excess sedation or slowed breathing when starting bicalutamide in a patient on stable fentanyl.
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?
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Other interactions of Bicalutamide
- Bicalutamide + Lomitapide Major
- Aminolevulinic acid + Bicalutamide Moderate
- Bicalutamide + Eliglustat Moderate
- Bicalutamide + Flibanserin Moderate
- Bicalutamide + Ivosidenib Moderate
- Bicalutamide + Lonafarnib Moderate
Frequently asked questions
Can I take Bicalutamide with Fentanyl intranasal?
MediHelp rates the interaction as minor. Bicalutamide and Fentanyl intranasal 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 only a weak CYP3A4 inhibitor, so any rise in fentanyl exposure is expected to be small. A clinically important effect is unlikely, though fentanyl overdose causes respiratory depression and sedation.
How serious is the interaction between Bicalutamide and Fentanyl intranasal?
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 usually needed; observe for excess sedation or slowed breathing when starting bicalutamide in a patient on stable fentanyl.
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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