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Drug interactions

Budesonide + Oxaliplatin

Severity: Moderate

Budesonide and Oxaliplatin: 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

Oxaliplatin causes myelosuppression and immune compromise, and corticosteroids add immunosuppression, which may increase the risk of infection. The effect is dependent on budesonide's systemic exposure, which is low for inhaled or locally acting forms.

What this interaction means in plain words

Budesonide and Oxaliplatin 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.

Budesonide belongs to Respiratory; Oxaliplatin belongs to Oncology.

Evidence level: Low

Why it happens

Additive immunosuppression from chemotherapy-induced myelosuppression and corticosteroid effects on immune function.

What to do

Monitor blood counts and for signs of infection during chemotherapy. Use the lowest effective budesonide dose and treat infections promptly.

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 Budesonide with Oxaliplatin?

MediHelp rates the interaction as moderate. Budesonide and Oxaliplatin 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. Oxaliplatin causes myelosuppression and immune compromise, and corticosteroids add immunosuppression, which may increase the risk of infection. The effect is dependent on budesonide's systemic exposure, which is low for inhaled or locally acting forms.

How serious is the interaction between Budesonide and Oxaliplatin?

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 signs of infection during chemotherapy. Use the lowest effective budesonide dose and treat infections promptly.

What other medicines interact with Budesonide?

MediHelp also lists interactions of Budesonide with, for example, Aldesleukin, Atazanavir, Bcg vaccine live. The full list is on the Budesonide 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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