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Drug interactions

Doxorubicin + Valganciclovir

Severity: Moderate

Doxorubicin and Valganciclovir: 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

Valganciclovir is converted to ganciclovir, which suppresses the bone marrow, as does doxorubicin. Combined use increases the risk of neutropenia, anemia and thrombocytopenia.

What this interaction means in plain words

Doxorubicin and Valganciclovir 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.

Doxorubicin belongs to Oncology; Valganciclovir belongs to Anti Virals.

Evidence level: Moderate

Why it happens

Additive myelosuppression.

What to do

Monitor complete blood counts frequently and reduce or interrupt either drug if cytopenias develop.

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 Doxorubicin with Valganciclovir?

MediHelp rates the interaction as moderate. Doxorubicin and Valganciclovir 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. Valganciclovir is converted to ganciclovir, which suppresses the bone marrow, as does doxorubicin. Combined use increases the risk of neutropenia, anemia and thrombocytopenia.

How serious is the interaction between Doxorubicin and Valganciclovir?

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 complete blood counts frequently and reduce or interrupt either drug if cytopenias develop.

What other medicines interact with Valganciclovir?

MediHelp also lists interactions of Valganciclovir with, for example, Didanosine, Ganciclovir, Liposomal doxorubicin. The full list is on the Valganciclovir page.

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

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