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Drug interactions

Carvedilol + Fedratinib

Severity: Moderate

Carvedilol 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 inhibitor of CYP2D6, which is a main route of carvedilol clearance. Exposure to the more potent R(+) enantiomer of carvedilol may rise, increasing the risk of bradycardia, hypotension and dizziness.

What this interaction means in plain words

Carvedilol 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.

Carvedilol belongs to Cardiovascular; Fedratinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Fedratinib inhibits CYP2D6-mediated oxidative metabolism of carvedilol.

What to do

Monitor heart rate and blood pressure when fedratinib is started or stopped. Reduce the carvedilol dose if bradycardia or symptomatic hypotension 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 Carvedilol with Fedratinib?

MediHelp rates the interaction as moderate. Carvedilol 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 inhibitor of CYP2D6, which is a main route of carvedilol clearance. Exposure to the more potent R(+) enantiomer of carvedilol may rise, increasing the risk of bradycardia, hypotension and dizziness.

How serious is the interaction between Carvedilol 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 heart rate and blood pressure when fedratinib is started or stopped. Reduce the carvedilol dose if bradycardia or symptomatic hypotension develops.

What other medicines interact with Carvedilol?

MediHelp also lists interactions of Carvedilol with, for example, Amifostine, Amiodarone, Arformoterol. The full list is on the Carvedilol page.

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