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Drug interactions

Diltiazem + Docetaxel

Severity: Moderate

Diltiazem and Docetaxel: 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

Diltiazem may increase docetaxel exposure, raising the risk of neutropenia, mucositis and fluid retention.

What this interaction means in plain words

Diltiazem and Docetaxel 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.

Diltiazem belongs to Cardiovascular; Docetaxel belongs to Oncology.

Evidence level: Moderate

Why it happens

Diltiazem inhibits CYP3A4, the principal metabolic pathway for docetaxel.

What to do

Monitor blood counts and toxicity, and consider docetaxel dose reduction or an alternative to diltiazem.

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 Diltiazem with Docetaxel?

MediHelp rates the interaction as moderate. Diltiazem and Docetaxel 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. Diltiazem may increase docetaxel exposure, raising the risk of neutropenia, mucositis and fluid retention.

How serious is the interaction between Diltiazem and Docetaxel?

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 blood counts and toxicity, and consider docetaxel dose reduction or an alternative to diltiazem.

What other medicines interact with Diltiazem?

MediHelp also lists interactions of Diltiazem with, for example, Flibanserin, Ivabradine, Lomitapide. The full list is on the Diltiazem page.

Full monographs, dosing and an interaction checker in the MediHelp app

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