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Drug interactions

Bortezomib + Cimetidine

Severity: Minor

Bortezomib and Cimetidine: 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

Cimetidine may modestly increase bortezomib exposure. This could theoretically worsen neuropathy, thrombocytopenia and gastrointestinal toxicity.

What this interaction means in plain words

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

Bortezomib belongs to Oncology; Cimetidine belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Cimetidine weakly inhibits CYP3A4, which is involved in bortezomib metabolism.

What to do

No dose adjustment is required routinely. Monitor for neuropathy and blood counts.

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 Bortezomib with Cimetidine?

MediHelp rates the interaction as minor. Bortezomib and Cimetidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cimetidine may modestly increase bortezomib exposure. This could theoretically worsen neuropathy, thrombocytopenia and gastrointestinal toxicity.

How serious is the interaction between Bortezomib and Cimetidine?

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 required routinely. Monitor for neuropathy and blood counts.

What other medicines interact with Cimetidine?

MediHelp also lists interactions of Cimetidine with, for example, Dofetilide, Fezolinetant, Alfentanil. The full list is on the Cimetidine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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