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Drug interactions

Bosutinib + Paclitaxel

Severity: Moderate

Bosutinib and Paclitaxel: 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

Bosutinib inhibits P-glycoprotein and may increase paclitaxel exposure. Both drugs can also cause myelosuppression, so toxicity may be additive.

What this interaction means in plain words

Bosutinib and Paclitaxel 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; Paclitaxel belongs to Oncology.

Evidence level: Low

Why it happens

P-gp inhibition by bosutinib reduces paclitaxel efflux, plus additive myelosuppression.

What to do

Monitor blood counts and neuropathy regularly. Adjust the paclitaxel dose if neutropenia or neurotoxicity worsens.

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?

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 Bosutinib with Paclitaxel?

MediHelp rates the interaction as moderate. Bosutinib and Paclitaxel 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 inhibits P-glycoprotein and may increase paclitaxel exposure. Both drugs can also cause myelosuppression, so toxicity may be additive.

How serious is the interaction between Bosutinib and Paclitaxel?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts and neuropathy regularly. Adjust the paclitaxel dose if neutropenia or neurotoxicity worsens.

What other medicines interact with Paclitaxel?

MediHelp also lists interactions of Paclitaxel with, for example, Adenovirus types 4 and 7 live, Cobicistat, Cyclosporin. The full list is on the Paclitaxel page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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