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Drug interactions

Brentuximab + Itraconazole

Severity: Moderate

Brentuximab and Itraconazole: 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

Itraconazole is a strong CYP3A4 and P-gp inhibitor and may raise MMAE exposure from brentuximab vedotin, increasing the risk of neutropenia and other toxicities.

What this interaction means in plain words

Brentuximab and Itraconazole 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.

Brentuximab belongs to Oncology; Itraconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Strong CYP3A4 and P-gp inhibition reduces MMAE clearance.

What to do

Monitor blood counts and for adverse reactions; consider an alternative antifungal with less CYP3A4 inhibition.

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 Brentuximab with Itraconazole?

MediHelp rates the interaction as moderate. Brentuximab and Itraconazole 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. Itraconazole is a strong CYP3A4 and P-gp inhibitor and may raise MMAE exposure from brentuximab vedotin, increasing the risk of neutropenia and other toxicities.

How serious is the interaction between Brentuximab and Itraconazole?

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 for adverse reactions; consider an alternative antifungal with less CYP3A4 inhibition.

What other medicines interact with Brentuximab?

MediHelp also lists interactions of Brentuximab with, for example, Bleomycin, Dengue vaccine, Etrasimod. The full list is on the Brentuximab 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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