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Drug interactions

Bleomycin + Brentuximab vedotin

Severity: Contraindicated

Bleomycin and Brentuximab vedotin: contraindicated 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

Concomitant use with bleomycin led to excess pulmonary toxicity in Hodgkin lymphoma patients, and this combination is contraindicated in the brentuximab labeling. Patients may develop pneumonitis or respiratory failure.

What this interaction means in plain words

Bleomycin and Brentuximab vedotin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Bleomycin belongs to Oncology; Brentuximab vedotin belongs to Oncology.

Evidence level: High

Why it happens

Additive or synergistic lung injury; the exact mechanism is not fully established.

What to do

Do not combine; omit bleomycin from regimens containing brentuximab vedotin (for example AVD with brentuximab). Evaluate any new cough or dyspnea promptly.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Bleomycin with Brentuximab vedotin?

MediHelp rates the interaction as contraindicated. Bleomycin and Brentuximab vedotin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Concomitant use with bleomycin led to excess pulmonary toxicity in Hodgkin lymphoma patients, and this combination is contraindicated in the brentuximab labeling. Patients may develop pneumonitis or respiratory failure.

How serious is the interaction between Bleomycin and Brentuximab vedotin?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine; omit bleomycin from regimens containing brentuximab vedotin (for example AVD with brentuximab). Evaluate any new cough or dyspnea promptly.

What other medicines interact with Bleomycin?

MediHelp also lists interactions of Bleomycin with, for example, Adenovirus types 4 and 7 live, Brentuximab, Dengue vaccine. The full list is on the Bleomycin page.

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