Drug interactions
Enasidenib + Rosuvastatin
Severity: Major
Enasidenib and Rosuvastatin: major 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
Enasidenib can raise rosuvastatin exposure, increasing the risk of statin-related myopathy and rhabdomyolysis.
What this interaction means in plain words
Enasidenib and Rosuvastatin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Enasidenib belongs to Oncology; Rosuvastatin belongs to Cardiovascular.
Why it happens
Enasidenib inhibits the transporters OATP1B1, OATP1B3 and BCRP, which are involved in rosuvastatin uptake and efflux.
What to do
Avoid if possible; if unavoidable, use the lowest effective rosuvastatin dose per its labeling and monitor for muscle pain, weakness and CK elevation.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Enasidenib
Other interactions of Rosuvastatin
Frequently asked questions
Can I take Enasidenib with Rosuvastatin?
MediHelp rates the interaction as major. Enasidenib and Rosuvastatin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Enasidenib can raise rosuvastatin exposure, increasing the risk of statin-related myopathy and rhabdomyolysis.
How serious is the interaction between Enasidenib and Rosuvastatin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; if unavoidable, use the lowest effective rosuvastatin dose per its labeling and monitor for muscle pain, weakness and CK elevation.
What other medicines interact with Enasidenib?
MediHelp also lists interactions of Enasidenib with, for example, Desogestrel-ethinyl estradiol, Ethinyl estradiol-levonorgestrel, Ethinyl estradiol-norgestimate. The full list is on the Enasidenib page.
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