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Drug interactions

Chloramphenicol + Vamorolone

Severity: Moderate

Chloramphenicol and Vamorolone: 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

Chloramphenicol may raise vamorolone levels by inhibiting CYP3A4. Greater exposure could increase corticosteroid adverse effects such as weight gain, mood changes and adrenal suppression.

What this interaction means in plain words

Chloramphenicol and Vamorolone 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.

Chloramphenicol belongs to Anti Bacterial; Vamorolone belongs to Endocrine.

Evidence level: Low

Why it happens

Inhibition of CYP3A4-mediated vamorolone metabolism by chloramphenicol.

What to do

Use the reduced vamorolone dose recommended with strong CYP3A4 inhibitors and monitor for corticosteroid adverse effects.

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 Chloramphenicol with Vamorolone?

MediHelp rates the interaction as moderate. Chloramphenicol and Vamorolone 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. Chloramphenicol may raise vamorolone levels by inhibiting CYP3A4. Greater exposure could increase corticosteroid adverse effects such as weight gain, mood changes and adrenal suppression.

How serious is the interaction between Chloramphenicol and Vamorolone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the reduced vamorolone dose recommended with strong CYP3A4 inhibitors and monitor for corticosteroid adverse effects.

What other medicines interact with Chloramphenicol?

MediHelp also lists interactions of Chloramphenicol with, for example, Adagrasib, Avapritinib, Bcg vaccine live. The full list is on the Chloramphenicol page.

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