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Drug interactions

Deflazacort + Quinupristin / dalfopristin

Severity: Moderate

Deflazacort and Quinupristin / dalfopristin: moderate interaction.

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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

Quinupristin/dalfopristin inhibits CYP3A4 and may increase exposure to deflazacort's active metabolite. This can enhance corticosteroid adverse effects.

What this interaction means in plain words

Deflazacort and Quinupristin / dalfopristin 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.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4 by quinupristin/dalfopristin reduces clearance of deflazacort's active metabolite.

What to do

Consider reducing deflazacort to one-third of the usual dose during coadministration. Monitor for signs of corticosteroid excess.

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 Deflazacort with Quinupristin / dalfopristin?

MediHelp rates the interaction as moderate. Deflazacort and Quinupristin / dalfopristin 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. Quinupristin/dalfopristin inhibits CYP3A4 and may increase exposure to deflazacort's active metabolite. This can enhance corticosteroid adverse effects.

How serious is the interaction between Deflazacort and Quinupristin / dalfopristin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider reducing deflazacort to one-third of the usual dose during coadministration. Monitor for signs of corticosteroid excess.

What other medicines interact with Deflazacort?

MediHelp also lists interactions of Deflazacort with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Deflazacort page.

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