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Drug interactions

Dactinomycin + Hydroxyurea

Severity: Moderate

Dactinomycin and Hydroxyurea: 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 suppress bone marrow, so combining them can cause more profound cytopenias. Infection and bleeding are the main risks.

What this interaction means in plain words

Dactinomycin and Hydroxyurea 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.

Dactinomycin belongs to Oncology; Hydroxyurea belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Additive myelosuppression.

What to do

Monitor complete blood counts regularly and adjust doses or give supportive care according to counts.

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 Dactinomycin with Hydroxyurea?

MediHelp rates the interaction as moderate. Dactinomycin and Hydroxyurea 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 suppress bone marrow, so combining them can cause more profound cytopenias. Infection and bleeding are the main risks.

How serious is the interaction between Dactinomycin and Hydroxyurea?

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 regularly and adjust doses or give supportive care according to counts.

What other medicines interact with Dactinomycin?

MediHelp also lists interactions of Dactinomycin with, for example, Adenovirus types 4 and 7 live, Belatacept, Dengue vaccine. The full list is on the Dactinomycin 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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