Drug interactions
Brentuximab vedotin + Itraconazole
Severity: Moderate
Brentuximab vedotin 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 can increase exposure to monomethyl auristatin E (MMAE), the cytotoxic component released from brentuximab vedotin. This may raise the risk of neutropenia and peripheral neuropathy.
What this interaction means in plain words
Brentuximab vedotin 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 vedotin belongs to Oncology; Itraconazole belongs to Anti Fungals.
Why it happens
Strong CYP3A4 inhibition (with possible P-gp inhibition) decreases MMAE clearance.
What to do
Monitor closely for neutropenia, neuropathy and infection during co-therapy. Consider delaying or reducing brentuximab vedotin if toxicity appears.
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 Itraconazole
- Alfuzosin + Itraconazole Contraindicated
- Alprazolam + Itraconazole Contraindicated
- Avanafil + Itraconazole Contraindicated
- Conivaptan + Itraconazole Contraindicated
- Dihydroergotamine intranasal + Itraconazole Contraindicated
- Dihydroergotamine + Itraconazole Contraindicated
Other interactions of Brentuximab vedotin
- Bleomycin + Brentuximab vedotin Contraindicated
- Brentuximab vedotin + Siponimod Major
- Apalutamide + Brentuximab vedotin Moderate
- Brentuximab vedotin + Clarithromycin Moderate
- Brentuximab vedotin + Imatinib Moderate
- Brentuximab vedotin + Isoniazid Moderate
Frequently asked questions
Can I take Brentuximab vedotin with Itraconazole?
MediHelp rates the interaction as moderate. Brentuximab vedotin 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 can increase exposure to monomethyl auristatin E (MMAE), the cytotoxic component released from brentuximab vedotin. This may raise the risk of neutropenia and peripheral neuropathy.
How serious is the interaction between Brentuximab vedotin 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 closely for neutropenia, neuropathy and infection during co-therapy. Consider delaying or reducing brentuximab vedotin if toxicity appears.
What other medicines interact with Itraconazole?
MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole page.
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