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Drug interactions

Deflazacort + Voxelotor

Severity: Moderate

Deflazacort and Voxelotor: 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

Voxelotor can inhibit CYP3A4 and raise concentrations of sensitive substrates, including the active metabolite of deflazacort. Greater corticosteroid exposure may increase the risk of dose-related adverse effects.

What this interaction means in plain words

Deflazacort and Voxelotor 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.

Deflazacort belongs to Miscellaneous; Voxelotor belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Voxelotor inhibits CYP3A4, reducing metabolic clearance of deflazacort's active metabolite.

What to do

Consider reducing the deflazacort dose and monitor for glucocorticoid adverse effects such as hyperglycemia, fluid retention and infection. Avoid if a lower-risk alternative exists.

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 Voxelotor?

MediHelp rates the interaction as moderate. Deflazacort and Voxelotor 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. Voxelotor can inhibit CYP3A4 and raise concentrations of sensitive substrates, including the active metabolite of deflazacort. Greater corticosteroid exposure may increase the risk of dose-related adverse effects.

How serious is the interaction between Deflazacort and Voxelotor?

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 the deflazacort dose and monitor for glucocorticoid adverse effects such as hyperglycemia, fluid retention and infection. Avoid if a lower-risk alternative exists.

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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