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Drug interactions

Erdafitinib + Piroxicam

Severity: Minor

Erdafitinib and Piroxicam: minor 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

Erdafitinib is partly metabolized by CYP2C9, and strong CYP2C9 inhibitors can raise its exposure and the risk of adverse effects such as hyperphosphatemia and ocular or skin toxicity. Piroxicam is a CYP2C9 substrate rather than a strong inhibitor, so a meaningful interaction is not established.

What this interaction means in plain words

Erdafitinib and Piroxicam have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Erdafitinib belongs to Oncology; Piroxicam belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Piroxicam is metabolized by CYP2C9 and is not a recognized strong inhibitor, so any competition at CYP2C9 is unlikely to be clinically significant.

What to do

No dose change is generally needed. Monitor for erdafitinib adverse reactions as routine.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Erdafitinib with Piroxicam?

MediHelp rates the interaction as minor. Erdafitinib and Piroxicam have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Erdafitinib is partly metabolized by CYP2C9, and strong CYP2C9 inhibitors can raise its exposure and the risk of adverse effects such as hyperphosphatemia and ocular or skin toxicity. Piroxicam is a CYP2C9 substrate rather than a strong inhibitor, so a meaningful interaction is not established.

How serious is the interaction between Erdafitinib and Piroxicam?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is generally needed. Monitor for erdafitinib adverse reactions as routine.

What other medicines interact with Piroxicam?

MediHelp also lists interactions of Piroxicam with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Piroxicam page.

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