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Drug interactions

Deferasirox + Tucatinib

Severity: Moderate

Deferasirox and Tucatinib: 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

Tucatinib is partly metabolized by CYP2C8, and deferasirox is a CYP2C8 inhibitor. Co-use may increase tucatinib levels and the risk of diarrhea and hepatotoxicity.

What this interaction means in plain words

Deferasirox and Tucatinib 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.

Deferasirox belongs to Miscellaneous; Tucatinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Deferasirox inhibits CYP2C8, reducing tucatinib metabolism.

What to do

Avoid the combination if possible. If used, monitor liver enzymes and diarrhea, and reduce the tucatinib dose if toxicity occurs.

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 Deferasirox with Tucatinib?

MediHelp rates the interaction as moderate. Deferasirox and Tucatinib 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. Tucatinib is partly metabolized by CYP2C8, and deferasirox is a CYP2C8 inhibitor. Co-use may increase tucatinib levels and the risk of diarrhea and hepatotoxicity.

How serious is the interaction between Deferasirox and Tucatinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination if possible. If used, monitor liver enzymes and diarrhea, and reduce the tucatinib dose if toxicity occurs.

What other medicines interact with Deferasirox?

MediHelp also lists interactions of Deferasirox with, for example, Acetylsalicylic acid, Alosetron, Aluminum hydroxide. The full list is on the Deferasirox page.

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