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Drug interactions

Certolizumab pegol + Hydroxycarbamide

Severity: Moderate

Certolizumab pegol and Hydroxycarbamide: 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

Hydroxyurea causes myelosuppression and certolizumab impairs TNF-mediated immunity. Together they may increase infection and cytopenia risk.

What this interaction means in plain words

Certolizumab pegol and Hydroxycarbamide 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.

Certolizumab pegol belongs to Musculoskeletal; Hydroxycarbamide belongs to Oncology.

Evidence level: Low

Why it happens

Additive immunosuppression and myelosuppression.

What to do

Monitor complete blood counts and signs of infection. Reduce or hold hydroxyurea for cytopenias and interrupt certolizumab during serious infection.

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 Certolizumab pegol with Hydroxycarbamide?

MediHelp rates the interaction as moderate. Certolizumab pegol and Hydroxycarbamide 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. Hydroxyurea causes myelosuppression and certolizumab impairs TNF-mediated immunity. Together they may increase infection and cytopenia risk.

How serious is the interaction between Certolizumab pegol and Hydroxycarbamide?

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 complete blood counts and signs of infection. Reduce or hold hydroxyurea for cytopenias and interrupt certolizumab during serious infection.

What other medicines interact with Certolizumab pegol?

MediHelp also lists interactions of Certolizumab pegol with, for example, Adenovirus types 4 and 7 live, Bcg intravesical live, Bcg vaccine live. The full list is on the Certolizumab pegol page.

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