Drug interactions
Dicloxacillin + Isavuconazonium
Severity: Moderate
Dicloxacillin and Isavuconazonium: 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
Dicloxacillin is a CYP3A4 inducer and may lower exposure to isavuconazole, the active moiety of isavuconazonium. Reduced antifungal concentrations could compromise treatment of invasive fungal infection.
What this interaction means in plain words
Dicloxacillin and Isavuconazonium 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.
Dicloxacillin belongs to Anti Bacterial; Isavuconazonium belongs to Anti Fungals.
Why it happens
Induction of CYP3A4 by dicloxacillin increases isavuconazole metabolism.
What to do
Monitor clinical response to antifungal therapy and consider isavuconazole trough levels if available; choose an alternative antibacterial if feasible.
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 Dicloxacillin
- Dicloxacillin + Phenindione Major
- Atogepant + Dicloxacillin Moderate
- Axitinib + Dicloxacillin Moderate
- Bcg vaccine live + Dicloxacillin Moderate
- Cholera vaccine + Dicloxacillin Moderate
- Demeclocycline + Dicloxacillin Moderate
Other interactions of Isavuconazonium
- Amobarbital + Isavuconazonium Contraindicated
- Apalutamide + Isavuconazonium Contraindicated
- Carbamazepine + Isavuconazonium Contraindicated
- Cisapride + Isavuconazonium Contraindicated
- Efavirenz + Isavuconazonium Contraindicated
- Enzalutamide + Isavuconazonium Contraindicated
Frequently asked questions
Can I take Dicloxacillin with Isavuconazonium?
MediHelp rates the interaction as moderate. Dicloxacillin and Isavuconazonium 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. Dicloxacillin is a CYP3A4 inducer and may lower exposure to isavuconazole, the active moiety of isavuconazonium. Reduced antifungal concentrations could compromise treatment of invasive fungal infection.
How serious is the interaction between Dicloxacillin and Isavuconazonium?
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 clinical response to antifungal therapy and consider isavuconazole trough levels if available; choose an alternative antibacterial if feasible.
What other medicines interact with Dicloxacillin?
MediHelp also lists interactions of Dicloxacillin with, for example, Phenindione, Atogepant, Axitinib. The full list is on the Dicloxacillin page.
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