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Drug interactions

Didanosine + Valoctocogene roxaparvovec

Severity: Moderate

Didanosine and Valoctocogene roxaparvovec: 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

Valoctocogene roxaparvovec gene therapy commonly causes transaminase elevations, and didanosine is itself hepatotoxic. Together they may raise the risk of liver injury and complicate interpretation of enzyme rises.

What this interaction means in plain words

Didanosine and Valoctocogene roxaparvovec 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.

Didanosine belongs to Anti Virals; Valoctocogene roxaparvovec belongs to Miscellaneous.

Evidence level: Low

Why it happens

Additive hepatotoxicity from the gene therapy vector response and didanosine liver toxicity.

What to do

Monitor liver enzymes closely after infusion and consider an alternative antiretroviral to didanosine.

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 Didanosine with Valoctocogene roxaparvovec?

MediHelp rates the interaction as moderate. Didanosine and Valoctocogene roxaparvovec 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. Valoctocogene roxaparvovec gene therapy commonly causes transaminase elevations, and didanosine is itself hepatotoxic. Together they may raise the risk of liver injury and complicate interpretation of enzyme rises.

How serious is the interaction between Didanosine and Valoctocogene roxaparvovec?

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 liver enzymes closely after infusion and consider an alternative antiretroviral to didanosine.

What other medicines interact with Didanosine?

MediHelp also lists interactions of Didanosine with, for example, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Hydroxycarbamide, Ribavirin. The full list is on the Didanosine page.

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