Drug interactions
Cisplatin + Trilaciclib
Severity: Major
Cisplatin and Trilaciclib: 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
Trilaciclib inhibits renal transporters involved in cisplatin uptake and secretion, which may alter cisplatin accumulation in the kidney. This could increase the risk of dose-related nephrotoxicity.
What this interaction means in plain words
Cisplatin and Trilaciclib 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; Trilaciclib belongs to Oncology.
Why it happens
Inhibition of OCT2, MATE1 and MATE2-K by trilaciclib changes renal tubular transport of cisplatin.
What to do
Avoid using trilaciclib with cisplatin-containing regimens, as labeling advises. If combined, monitor serum creatinine and electrolytes closely.
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 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
Other interactions of Trilaciclib
Frequently asked questions
Can I take Cisplatin with Trilaciclib?
MediHelp rates the interaction as major. Cisplatin and Trilaciclib 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. Trilaciclib inhibits renal transporters involved in cisplatin uptake and secretion, which may alter cisplatin accumulation in the kidney. This could increase the risk of dose-related nephrotoxicity.
How serious is the interaction between Cisplatin and Trilaciclib?
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 using trilaciclib with cisplatin-containing regimens, as labeling advises. If combined, monitor serum creatinine and electrolytes closely.
What other medicines interact with Cisplatin?
MediHelp also lists interactions of Cisplatin with, for example, Cidofovir, Adefovir, Adenovirus types 4 and 7 live. The full list is on the Cisplatin page.
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