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Drug interactions

Encorafenib + Fluticasone-salmeterol

Severity: Moderate

Encorafenib and Fluticasone-salmeterol: 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

Encorafenib has mixed CYP3A4 effects and can alter exposure to the CYP3A4 substrates salmeterol and fluticasone unpredictably. Both encorafenib and salmeterol can prolong the QT interval, so the combination may add to proarrhythmic risk.

What this interaction means in plain words

Encorafenib and Fluticasone-salmeterol 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.

Encorafenib belongs to Oncology; Fluticasone-salmeterol belongs to Respiratory.

Evidence level: Low

Why it happens

Mixed CYP3A4 inhibition and induction by encorafenib plus additive QT prolongation.

What to do

Monitor ECG and electrolytes, and watch for loss of asthma control or beta-agonist adverse effects. Correct potassium and magnesium before starting.

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 Encorafenib with Fluticasone-salmeterol?

MediHelp rates the interaction as moderate. Encorafenib and Fluticasone-salmeterol 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. Encorafenib has mixed CYP3A4 effects and can alter exposure to the CYP3A4 substrates salmeterol and fluticasone unpredictably. Both encorafenib and salmeterol can prolong the QT interval, so the combination may add to proarrhythmic risk.

How serious is the interaction between Encorafenib and Fluticasone-salmeterol?

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 ECG and electrolytes, and watch for loss of asthma control or beta-agonist adverse effects. Correct potassium and magnesium before starting.

What other medicines interact with Fluticasone-salmeterol?

MediHelp also lists interactions of Fluticasone-salmeterol with, for example, Darunavir, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Fosamprenavir. The full list is on the Fluticasone-salmeterol page.

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