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Drug interactions

Cariprazine + Fedratinib

Severity: Moderate

Cariprazine and Fedratinib: 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

Fedratinib is a moderate CYP3A4 inhibitor, and cariprazine and its active metabolites rely on CYP3A4 for clearance. Coadministration may increase cariprazine exposure and the risk of adverse effects such as akathisia, sedation and extrapyramidal symptoms. Its long-acting active metabolites make the effect prolonged.

What this interaction means in plain words

Cariprazine and Fedratinib 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.

Cariprazine belongs to Central Nervous System; Fedratinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4-mediated cariprazine metabolism by fedratinib.

What to do

Monitor for increased adverse effects and consider reducing the cariprazine dose while fedratinib is used. Reassess for several weeks after either drug is stopped or started.

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 Cariprazine with Fedratinib?

MediHelp rates the interaction as moderate. Cariprazine and Fedratinib 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. Fedratinib is a moderate CYP3A4 inhibitor, and cariprazine and its active metabolites rely on CYP3A4 for clearance. Coadministration may increase cariprazine exposure and the risk of adverse effects such as akathisia, sedation and extrapyramidal symptoms. Its long-acting active metabolites make the effect prolonged.

How serious is the interaction between Cariprazine and Fedratinib?

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 for increased adverse effects and consider reducing the cariprazine dose while fedratinib is used. Reassess for several weeks after either drug is stopped or started.

What other medicines interact with Cariprazine?

MediHelp also lists interactions of Cariprazine with, for example, Alfentanil, Amisulpride, Amobarbital. The full list is on the Cariprazine page.

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