Drug interactions
Bosutinib + Clotrimazole
Severity: Moderate
Bosutinib and Clotrimazole: moderate 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
Systemic clotrimazole exposure is low with topical or local use, but oral lozenge use can inhibit CYP3A4 and potentially raise bosutinib levels. Higher bosutinib exposure could increase gastrointestinal, hepatic and myelosuppressive toxicity.
What this interaction means in plain words
Bosutinib and Clotrimazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Bosutinib belongs to Oncology; Clotrimazole belongs to Anti Fungals.
Why it happens
Clotrimazole is a CYP3A4 inhibitor that may reduce bosutinib metabolism.
What to do
Prefer topical or vaginal forms, or an alternative antifungal if systemic exposure is expected. Monitor for bosutinib toxicity and liver enzymes if combined.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Clotrimazole
- Clotrimazole + Lomitapide Major
- Clotrimazole + Mavacamten Major
- Clotrimazole + Mobocertinib Major
- Clotrimazole + Voclosporin Major
- Cannabidiol + Clotrimazole Moderate
- Clotrimazole + Cyclosporine Moderate
Other interactions of Bosutinib
- Amiodarone + Bosutinib Major
- Apalutamide + Bosutinib Major
- Aprepitant + Bosutinib Major
- Bosentan + Bosutinib Major
- Bosutinib + Carbamazepine Major
- Bosutinib + Chlorpromazine Major
Frequently asked questions
Can I take Bosutinib with Clotrimazole?
MediHelp rates the interaction as moderate. Bosutinib and Clotrimazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Systemic clotrimazole exposure is low with topical or local use, but oral lozenge use can inhibit CYP3A4 and potentially raise bosutinib levels. Higher bosutinib exposure could increase gastrointestinal, hepatic and myelosuppressive toxicity.
How serious is the interaction between Bosutinib and Clotrimazole?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer topical or vaginal forms, or an alternative antifungal if systemic exposure is expected. Monitor for bosutinib toxicity and liver enzymes if combined.
What other medicines interact with Clotrimazole?
MediHelp also lists interactions of Clotrimazole with, for example, Lomitapide, Mavacamten, Mobocertinib. The full list is on the Clotrimazole page.
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