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Drug interactions

Dasatinib + Topiramate

Severity: Minor

Dasatinib and Topiramate: minor 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 topiramate is a weak inducer that could modestly lower its exposure. Strong inducers matter far more, so clinical relevance is likely limited.

What this interaction means in plain words

Dasatinib and Topiramate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Dasatinib belongs to Oncology; Topiramate belongs to Central Nervous System.

Evidence level: Low

Why it happens

Weak CYP3A4 induction by topiramate may increase dasatinib clearance.

What to do

No routine adjustment is needed. Monitor hematologic and molecular response to dasatinib.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Topiramate?

MediHelp rates the interaction as minor. Dasatinib and Topiramate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Dasatinib is a CYP3A4 substrate, and topiramate is a weak inducer that could modestly lower its exposure. Strong inducers matter far more, so clinical relevance is likely limited.

How serious is the interaction between Dasatinib and Topiramate?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed. Monitor hematologic and molecular response to dasatinib.

What other medicines interact with Topiramate?

MediHelp also lists interactions of Topiramate with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Topiramate page.

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

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