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Drug interactions

Danicopan + Mitoxantrone

Severity: Moderate

Danicopan and Mitoxantrone: 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 increase exposure to BCRP substrates such as mitoxantrone. This may worsen myelosuppression and cardiotoxicity.

What this interaction means in plain words

Danicopan and Mitoxantrone 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; Mitoxantrone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Inhibition of BCRP efflux transport by danicopan reduces mitoxantrone clearance.

What to do

Monitor blood counts and consider mitoxantrone dose reduction while on danicopan.

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 Mitoxantrone?

MediHelp rates the interaction as moderate. Danicopan and Mitoxantrone 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 increase exposure to BCRP substrates such as mitoxantrone. This may worsen myelosuppression and cardiotoxicity.

How serious is the interaction between Danicopan and Mitoxantrone?

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 blood counts and consider mitoxantrone dose reduction while on danicopan.

What other medicines interact with Mitoxantrone?

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

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

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