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Drug interactions

Dasatinib + Fosaprepitant

Severity: Moderate

Dasatinib and Fosaprepitant: 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

Aprepitant, the active form of fosaprepitant, is a moderate CYP3A4 inhibitor and may raise dasatinib levels during short courses. Clinical impact is usually limited by the brief duration of use.

What this interaction means in plain words

Dasatinib and Fosaprepitant 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.

Dasatinib belongs to Oncology; Fosaprepitant belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Aprepitant temporarily inhibits CYP3A4, reducing dasatinib clearance.

What to do

Monitor for dasatinib adverse effects such as cytopenias and fluid retention in the days after fosaprepitant. No routine dose change is needed for single doses.

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 Dasatinib with Fosaprepitant?

MediHelp rates the interaction as moderate. Dasatinib and Fosaprepitant 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. Aprepitant, the active form of fosaprepitant, is a moderate CYP3A4 inhibitor and may raise dasatinib levels during short courses. Clinical impact is usually limited by the brief duration of use.

How serious is the interaction between Dasatinib and Fosaprepitant?

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 for dasatinib adverse effects such as cytopenias and fluid retention in the days after fosaprepitant. No routine dose change is needed for single doses.

What other medicines interact with Dasatinib?

MediHelp also lists interactions of Dasatinib with, for example, Saquinavir, Thioridazine, Adagrasib. The full list is on the Dasatinib page.

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

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