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Drug interactions

Decitabine + Dichlorphenamide

Severity: Moderate

Decitabine and Dichlorphenamide: 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

Dichlorphenamide commonly causes hypokalemia and non-gap metabolic acidosis. Decitabine can cause electrolyte disturbances and gastrointestinal losses, so the acid-base and potassium abnormalities may be additive.

What this interaction means in plain words

Decitabine and Dichlorphenamide 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.

Decitabine belongs to Oncology; Dichlorphenamide belongs to Miscellaneous.

Evidence level: Low

Why it happens

Additive potassium lowering and acidosis from carbonic anhydrase inhibition plus chemotherapy-related adverse effects.

What to do

Monitor serum potassium and bicarbonate at baseline and during treatment. Replace potassium and reduce or stop dichlorphenamide if acidosis becomes significant.

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 Decitabine with Dichlorphenamide?

MediHelp rates the interaction as moderate. Decitabine and Dichlorphenamide 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. Dichlorphenamide commonly causes hypokalemia and non-gap metabolic acidosis. Decitabine can cause electrolyte disturbances and gastrointestinal losses, so the acid-base and potassium abnormalities may be additive.

How serious is the interaction between Decitabine and Dichlorphenamide?

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 serum potassium and bicarbonate at baseline and during treatment. Replace potassium and reduce or stop dichlorphenamide if acidosis becomes significant.

What other medicines interact with Decitabine?

MediHelp also lists interactions of Decitabine with, for example, Dengue vaccine, Etrasimod, Fingolimod. The full list is on the Decitabine page.

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

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