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Drug interactions

Dasatinib + Isoniazid

Severity: Moderate

Dasatinib and Isoniazid: 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

Dasatinib is a CYP3A4 substrate, and isoniazid may inhibit this enzyme weakly. Dasatinib levels could rise, increasing myelosuppression, fluid retention and QT effects. Both drugs can also affect the liver.

What this interaction means in plain words

Dasatinib and Isoniazid 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; Isoniazid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Isoniazid-mediated CYP3A4 inhibition may reduce dasatinib clearance.

What to do

Monitor blood counts, liver tests and ECG during co-use. Reduce the dasatinib dose if adverse effects occur.

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 Isoniazid?

MediHelp rates the interaction as moderate. Dasatinib and Isoniazid 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 is a CYP3A4 substrate, and isoniazid may inhibit this enzyme weakly. Dasatinib levels could rise, increasing myelosuppression, fluid retention and QT effects. Both drugs can also affect the liver.

How serious is the interaction between Dasatinib and Isoniazid?

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, liver tests and ECG during co-use. Reduce the dasatinib dose if adverse effects occur.

What other medicines interact with Isoniazid?

MediHelp also lists interactions of Isoniazid with, for example, Bacillus calmette-guerin substrain tice, Benzhydrocodone / acetaminophen, Carbamazepine. The full list is on the Isoniazid page.

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

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