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Drug interactions

Ceritinib + Vinblastine

Severity: Moderate

Ceritinib and Vinblastine: 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

Ceritinib is a CYP3A4 inhibitor and may reduce vinblastine clearance. This can increase vinblastine toxicity, including neutropenia, neuropathy and severe constipation.

What this interaction means in plain words

Ceritinib and Vinblastine 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.

Ceritinib belongs to Oncology; Vinblastine belongs to Oncology.

Evidence level: Low

Why it happens

Ceritinib inhibits CYP3A4-mediated metabolism of vinblastine.

What to do

Monitor blood counts and for neurotoxicity and bowel dysfunction. Consider lowering the vinblastine dose or choosing an alternative to ceritinib where possible.

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 Ceritinib with Vinblastine?

MediHelp rates the interaction as moderate. Ceritinib and Vinblastine 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. Ceritinib is a CYP3A4 inhibitor and may reduce vinblastine clearance. This can increase vinblastine toxicity, including neutropenia, neuropathy and severe constipation.

How serious is the interaction between Ceritinib and Vinblastine?

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 neurotoxicity and bowel dysfunction. Consider lowering the vinblastine dose or choosing an alternative to ceritinib where possible.

What other medicines interact with Vinblastine?

MediHelp also lists interactions of Vinblastine with, for example, Adenovirus types 4 and 7 live, Apalutamide, Atazanavir. The full list is on the Vinblastine page.

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

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