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Drug interactions

Edoxaban + Fostamatinib

Severity: Moderate

Edoxaban and Fostamatinib: 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

Fostamatinib's active metabolite inhibits P-gp and may raise edoxaban concentrations. Fostamatinib can also cause thrombocytopenia-related bleeding concerns in some settings.

What this interaction means in plain words

Edoxaban and Fostamatinib 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.

Edoxaban belongs to Cardiovascular; Fostamatinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Inhibition of P-glycoprotein increases edoxaban absorption and reduces efflux.

What to do

Monitor for bleeding and platelet counts; consider reducing the edoxaban dose if bleeding signs appear.

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 Edoxaban with Fostamatinib?

MediHelp rates the interaction as moderate. Edoxaban and Fostamatinib 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. Fostamatinib's active metabolite inhibits P-gp and may raise edoxaban concentrations. Fostamatinib can also cause thrombocytopenia-related bleeding concerns in some settings.

How serious is the interaction between Edoxaban and Fostamatinib?

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 for bleeding and platelet counts; consider reducing the edoxaban dose if bleeding signs appear.

What other medicines interact with Edoxaban?

MediHelp also lists interactions of Edoxaban with, for example, Apixaban, Defibrotide, Ketorolac. The full list is on the Edoxaban 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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