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Drug interactions

Erdafitinib + Silodosin

Severity: Moderate

Erdafitinib and Silodosin: 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

Erdafitinib inhibits P-glycoprotein and may raise exposure to P-gp substrates such as silodosin. Increased silodosin levels may cause more hypotension and dizziness.

What this interaction means in plain words

Erdafitinib and Silodosin 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.

Erdafitinib belongs to Oncology; Silodosin belongs to Genitourinary.

Evidence level: Low

Why it happens

Erdafitinib inhibits intestinal and cellular P-gp efflux, increasing silodosin absorption and reducing its clearance.

What to do

Monitor blood pressure and orthostatic symptoms when starting erdafitinib. Separating dosing by about 6 hours is advised in erdafitinib labeling for narrow-therapeutic-index P-gp substrates.

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 Erdafitinib with Silodosin?

MediHelp rates the interaction as moderate. Erdafitinib and Silodosin 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. Erdafitinib inhibits P-glycoprotein and may raise exposure to P-gp substrates such as silodosin. Increased silodosin levels may cause more hypotension and dizziness.

How serious is the interaction between Erdafitinib and Silodosin?

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 blood pressure and orthostatic symptoms when starting erdafitinib. Separating dosing by about 6 hours is advised in erdafitinib labeling for narrow-therapeutic-index P-gp substrates.

What other medicines interact with Silodosin?

MediHelp also lists interactions of Silodosin with, for example, Atazanavir, Conivaptan, Darunavir. The full list is on the Silodosin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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