Drug interactions
Denosumab + Liposomal doxorubicin
Severity: Moderate
Denosumab and Liposomal doxorubicin: 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
Denosumab may raise infection risk, and doxorubicin-related myelosuppression and immunosuppression add to this. Patients receiving chemotherapy may be at greater risk of serious infections including skin infections.
What this interaction means in plain words
Denosumab and Liposomal doxorubicin 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.
Denosumab belongs to Oncology; Liposomal doxorubicin belongs to Oncology.
Why it happens
Additive immune suppression: denosumab inhibits RANKL signalling while doxorubicin causes myelosuppression.
What to do
Monitor for signs of infection and check neutrophil counts. Treat infections promptly and counsel patients to report fever.
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?
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Other interactions of Liposomal doxorubicin
- Dengue vaccine + Liposomal doxorubicin Contraindicated
- Belatacept + Liposomal doxorubicin Major
- Cyclosporine + Liposomal doxorubicin Major
- Dronedarone + Liposomal doxorubicin Major
- Elvitegravir / cobicistat / emtricitabine / tenofovir df + Liposomal doxorubicin Major
- Fingolimod + Liposomal doxorubicin Major
Other interactions of Denosumab
- Abatacept + Denosumab Moderate
- Adalimumab + Denosumab Moderate
- Alefacept + Denosumab Moderate
- Alemtuzumab + Denosumab Moderate
- Anakinra + Denosumab Moderate
- Azacitidine + Denosumab Moderate
Frequently asked questions
Can I take Denosumab with Liposomal doxorubicin?
MediHelp rates the interaction as moderate. Denosumab and Liposomal doxorubicin 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. Denosumab may raise infection risk, and doxorubicin-related myelosuppression and immunosuppression add to this. Patients receiving chemotherapy may be at greater risk of serious infections including skin infections.
How serious is the interaction between Denosumab and Liposomal doxorubicin?
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 for signs of infection and check neutrophil counts. Treat infections promptly and counsel patients to report fever.
What other medicines interact with Liposomal doxorubicin?
MediHelp also lists interactions of Liposomal doxorubicin with, for example, Dengue vaccine, Belatacept, Cyclosporine. The full list is on the Liposomal doxorubicin page.
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