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Drug interactions

Efgartigimod / hyaluronidase sc + Sarilumab

Severity: Moderate

Efgartigimod / hyaluronidase sc and Sarilumab: 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

Efgartigimod blocks FcRn and lowers circulating IgG. Sarilumab, an IgG1 antibody, may have reduced exposure and efficacy.

What this interaction means in plain words

Efgartigimod / hyaluronidase sc and Sarilumab 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

FcRn blockade increases the catabolism of IgG-based drugs such as sarilumab.

What to do

Monitor for reduced sarilumab response. If sarilumab is essential long term, consider alternative therapy.

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 Efgartigimod / hyaluronidase sc with Sarilumab?

MediHelp rates the interaction as moderate. Efgartigimod / hyaluronidase sc and Sarilumab 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. Efgartigimod blocks FcRn and lowers circulating IgG. Sarilumab, an IgG1 antibody, may have reduced exposure and efficacy.

How serious is the interaction between Efgartigimod / hyaluronidase sc and Sarilumab?

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 reduced sarilumab response. If sarilumab is essential long term, consider alternative therapy.

What other medicines interact with Sarilumab?

MediHelp also lists interactions of Sarilumab with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Dengue vaccine. The full list is on the Sarilumab 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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