Drug interactions
Cisplatin + Didanosine
Severity: Major
Cisplatin and Didanosine: major 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
Both drugs can cause peripheral neuropathy, so combined use may increase the frequency and severity of nerve damage. Didanosine also carries a risk of pancreatitis.
What this interaction means in plain words
Cisplatin and Didanosine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Cisplatin belongs to Oncology; Didanosine belongs to Anti Virals.
Why it happens
Additive neurotoxicity (pharmacodynamic synergism).
What to do
Avoid the combination if possible by using a non-neurotoxic antiretroviral. If unavoidable, assess neurologic symptoms before each cycle and stop the offending agent if neuropathy progresses.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Didanosine
- Didanosine + Elvitegravir / cobicistat / emtricitabine / tenofovir df Contraindicated
- Didanosine + Hydroxycarbamide Contraindicated
- Didanosine + Ribavirin Contraindicated
- Didanosine + Stavudine Contraindicated
- Allopurinol + Didanosine Major
- Atidarsagene autotemcel + Didanosine Major
Other interactions of Cisplatin
- Cidofovir + Cisplatin Contraindicated
- Adefovir + Cisplatin Major
- Adenovirus types 4 and 7 live + Cisplatin Major
- Amikacin + Cisplatin Major
- Amphotericin b deoxycholate + Cisplatin Major
- Amphotericin b + Cisplatin Major
Frequently asked questions
Can I take Cisplatin with Didanosine?
MediHelp rates the interaction as major. Cisplatin and Didanosine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs can cause peripheral neuropathy, so combined use may increase the frequency and severity of nerve damage. Didanosine also carries a risk of pancreatitis.
How serious is the interaction between Cisplatin and Didanosine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination if possible by using a non-neurotoxic antiretroviral. If unavoidable, assess neurologic symptoms before each cycle and stop the offending agent if neuropathy progresses.
What other medicines interact with Didanosine?
MediHelp also lists interactions of Didanosine with, for example, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Hydroxycarbamide, Ribavirin. The full list is on the Didanosine page.
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