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Drug interactions

Deflazacort + Somatrem

Severity: Moderate

Deflazacort and Somatrem: 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

Glucocorticoids given at supraphysiologic doses can reduce the growth-promoting effects of growth hormone, which matters in children. Growth hormone can also alter cortisol activation and unmask adrenal insufficiency in treated patients.

What this interaction means in plain words

Deflazacort and Somatrem 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

Pharmacodynamic antagonism of growth hormone by glucocorticoids and growth hormone inhibition of 11-beta-HSD1.

What to do

Track growth velocity and use the lowest effective deflazacort dose. Review glucocorticoid replacement needs after growth hormone is started.

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 Somatrem?

MediHelp rates the interaction as moderate. Deflazacort and Somatrem 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. Glucocorticoids given at supraphysiologic doses can reduce the growth-promoting effects of growth hormone, which matters in children. Growth hormone can also alter cortisol activation and unmask adrenal insufficiency in treated patients.

How serious is the interaction between Deflazacort and Somatrem?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Track growth velocity and use the lowest effective deflazacort dose. Review glucocorticoid replacement needs after growth hormone is started.

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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