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Drug interactions

Carvedilol + Venetoclax

Severity: Moderate

Carvedilol and Venetoclax: 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

Carvedilol inhibits P-glycoprotein and may increase venetoclax exposure. This raises the risk of venetoclax toxicities such as neutropenia and tumor lysis syndrome.

What this interaction means in plain words

Carvedilol and Venetoclax 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; Venetoclax belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Carvedilol inhibits P-glycoprotein efflux of venetoclax, increasing its absorption.

What to do

Where possible choose an alternative to carvedilol. If it is used, consider reducing the venetoclax dose per labeling and monitor blood counts and tumor lysis laboratory markers.

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 Venetoclax?

MediHelp rates the interaction as moderate. Carvedilol and Venetoclax 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 inhibits P-glycoprotein and may increase venetoclax exposure. This raises the risk of venetoclax toxicities such as neutropenia and tumor lysis syndrome.

How serious is the interaction between Carvedilol and Venetoclax?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Where possible choose an alternative to carvedilol. If it is used, consider reducing the venetoclax dose per labeling and monitor blood counts and tumor lysis laboratory markers.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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