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Drug interactions

Cytarabine + Olaparib

Severity: Moderate

Cytarabine and Olaparib: 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

Both drugs cause myelosuppression, and combining them can deepen and prolong anemia, neutropenia and thrombocytopenia. This raises the risk of infection, bleeding and treatment delays.

What this interaction means in plain words

Cytarabine and Olaparib 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.

Cytarabine belongs to Oncology; Olaparib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive bone marrow toxicity: cytarabine is a DNA-synthesis-inhibiting antimetabolite and olaparib is a PARP inhibitor that impairs DNA repair.

What to do

Monitor complete blood counts frequently and adjust doses or interrupt olaparib for significant cytopenias. Provide supportive care as needed.

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 Cytarabine with Olaparib?

MediHelp rates the interaction as moderate. Cytarabine and Olaparib 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. Both drugs cause myelosuppression, and combining them can deepen and prolong anemia, neutropenia and thrombocytopenia. This raises the risk of infection, bleeding and treatment delays.

How serious is the interaction between Cytarabine and Olaparib?

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 frequently and adjust doses or interrupt olaparib for significant cytopenias. Provide supportive care as needed.

What other medicines interact with Cytarabine?

MediHelp also lists interactions of Cytarabine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Cytarabine page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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