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Drug interactions

Brentuximab vedotin + Trastuzumab

Severity: Moderate

Brentuximab vedotin and Trastuzumab: 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

Brentuximab vedotin commonly causes neutropenia, and trastuzumab given with myelosuppressive agents has been associated with more neutropenia and febrile neutropenia. Using both may raise the risk of serious infection.

What this interaction means in plain words

Brentuximab vedotin and Trastuzumab 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; Trastuzumab belongs to Oncology.

Evidence level: Low

Why it happens

Additive myelosuppression, mainly from the cytotoxic payload of brentuximab vedotin, on top of the neutropenia seen with trastuzumab plus chemotherapy.

What to do

Monitor complete blood counts regularly and check for signs of infection. Consider G-CSF support or dose adjustment of brentuximab vedotin if significant neutropenia develops.

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 vedotin with Trastuzumab?

MediHelp rates the interaction as moderate. Brentuximab vedotin and Trastuzumab 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 commonly causes neutropenia, and trastuzumab given with myelosuppressive agents has been associated with more neutropenia and febrile neutropenia. Using both may raise the risk of serious infection.

How serious is the interaction between Brentuximab vedotin and Trastuzumab?

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 complete blood counts regularly and check for signs of infection. Consider G-CSF support or dose adjustment of brentuximab vedotin if significant neutropenia develops.

What other medicines interact with Trastuzumab?

MediHelp also lists interactions of Trastuzumab with, for example, Daunorubicin, Doxorubicin liposomal, Doxorubicin. The full list is on the Trastuzumab page.

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