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Drug interactions

Danicopan + Leflunomide

Severity: Moderate

Danicopan and Leflunomide: 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

Danicopan inhibits BCRP and can raise concentrations of BCRP substrates. Teriflunomide, the active metabolite of leflunomide, is a BCRP substrate, so adverse effects may increase.

What this interaction means in plain words

Danicopan and Leflunomide 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.

Danicopan belongs to Miscellaneous; Leflunomide belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Danicopan inhibits BCRP, reducing efflux of teriflunomide.

What to do

Monitor liver enzymes and blood counts; consider leflunomide dose reduction if adverse effects emerge.

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 Danicopan with Leflunomide?

MediHelp rates the interaction as moderate. Danicopan and Leflunomide 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. Danicopan inhibits BCRP and can raise concentrations of BCRP substrates. Teriflunomide, the active metabolite of leflunomide, is a BCRP substrate, so adverse effects may increase.

How serious is the interaction between Danicopan and Leflunomide?

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 liver enzymes and blood counts; consider leflunomide dose reduction if adverse effects emerge.

What other medicines interact with Leflunomide?

MediHelp also lists interactions of Leflunomide with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Leflunomide 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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