Drug interactions
Cimetidine + Tazemetostat
Severity: Moderate
Cimetidine and Tazemetostat: 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
Tazemetostat is a CYP3A4 substrate, and cimetidine, a weak CYP3A4 inhibitor, may modestly raise its exposure. Higher levels could increase adverse effects such as fatigue, nausea and cytopenias.
What this interaction means in plain words
Cimetidine and Tazemetostat 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.
Cimetidine belongs to Gastrointestinal Tract; Tazemetostat belongs to Miscellaneous.
Why it happens
Cimetidine inhibits CYP3A4 metabolism of tazemetostat.
What to do
Monitor for tazemetostat toxicity and blood counts; consider famotidine as an alternative acid suppressant.
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?
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Other interactions of Cimetidine
- Cimetidine + Dofetilide Contraindicated
- Cimetidine + Fezolinetant Contraindicated
- Alfentanil + Cimetidine Major
- Atazanavir + Cimetidine Major
- Carmustine + Cimetidine Major
- Cimetidine + Citalopram Major
Other interactions of Tazemetostat
Frequently asked questions
Can I take Cimetidine with Tazemetostat?
MediHelp rates the interaction as moderate. Cimetidine and Tazemetostat 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. Tazemetostat is a CYP3A4 substrate, and cimetidine, a weak CYP3A4 inhibitor, may modestly raise its exposure. Higher levels could increase adverse effects such as fatigue, nausea and cytopenias.
How serious is the interaction between Cimetidine and Tazemetostat?
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 for tazemetostat toxicity and blood counts; consider famotidine as an alternative acid suppressant.
What other medicines interact with Cimetidine?
MediHelp also lists interactions of Cimetidine with, for example, Dofetilide, Fezolinetant, Alfentanil. The full list is on the Cimetidine page.
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