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Drug interactions

Daunorubicin + Etrasimod

Severity: Major

Daunorubicin and Etrasimod: major 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

Etrasimod lowers circulating lymphocytes, and daunorubicin is myelosuppressive and immunosuppressive. Together they may add to immunosuppression and the risk of serious infection.

What this interaction means in plain words

Daunorubicin and Etrasimod can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Daunorubicin belongs to Oncology; Etrasimod belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Additive immunosuppression from S1P receptor modulation (lymphocyte sequestration) and cytotoxic myelosuppression.

What to do

Avoid combining them where possible, and allow etrasimod's effects to resolve after stopping. If combined, monitor lymphocyte and neutrophil counts and watch for infection.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Daunorubicin with Etrasimod?

MediHelp rates the interaction as major. Daunorubicin and Etrasimod can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Etrasimod lowers circulating lymphocytes, and daunorubicin is myelosuppressive and immunosuppressive. Together they may add to immunosuppression and the risk of serious infection.

How serious is the interaction between Daunorubicin and Etrasimod?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining them where possible, and allow etrasimod's effects to resolve after stopping. If combined, monitor lymphocyte and neutrophil counts and watch for infection.

What other medicines interact with Daunorubicin?

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

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

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