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Drug interactions

Doxorubicin liposomal + Mifepristone

Severity: Moderate

Doxorubicin liposomal and Mifepristone: 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

Mifepristone may inhibit CYP3A4 and P-glycoprotein and could increase doxorubicin exposure. This may heighten myelosuppression and cardiotoxicity, though liposomal formulation lowers free drug exposure.

What this interaction means in plain words

Doxorubicin liposomal and Mifepristone 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.

Evidence level: Low

Why it happens

Possible CYP3A4 and P-glycoprotein inhibition reduces doxorubicin clearance.

What to do

Monitor blood counts and cardiac function. Reduce the dose if toxicity develops.

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 liposomal with Mifepristone?

MediHelp rates the interaction as moderate. Doxorubicin liposomal and Mifepristone 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. Mifepristone may inhibit CYP3A4 and P-glycoprotein and could increase doxorubicin exposure. This may heighten myelosuppression and cardiotoxicity, though liposomal formulation lowers free drug exposure.

How serious is the interaction between Doxorubicin liposomal and Mifepristone?

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 cardiac function. Reduce the dose if toxicity develops.

What other medicines interact with Mifepristone?

MediHelp also lists interactions of Mifepristone with, for example, Apixaban, Argatroban, Cisapride. The full list is on the Mifepristone page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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