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Drug interactions

Ertugliflozin + Ifosfamide

Severity: Moderate

Ertugliflozin and Ifosfamide: 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

Ifosfamide can cause tubular nephrotoxicity, while ertugliflozin can cause volume depletion and acute kidney injury. Together they may increase the risk of renal impairment and dehydration, and the glucose-lowering effect of ertugliflozin drops with reduced renal function.

What this interaction means in plain words

Ertugliflozin and Ifosfamide 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.

Ertugliflozin belongs to Endocrine; Ifosfamide belongs to Oncology.

Evidence level: Low

Why it happens

Additive renal risk from ifosfamide tubular toxicity and SGLT2-inhibitor volume depletion.

What to do

Monitor renal function and hydration status, and hold ertugliflozin during acute illness, vomiting or reduced intake. Watch for ketoacidosis in patients on chemotherapy.

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 Ertugliflozin with Ifosfamide?

MediHelp rates the interaction as moderate. Ertugliflozin and Ifosfamide 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. Ifosfamide can cause tubular nephrotoxicity, while ertugliflozin can cause volume depletion and acute kidney injury. Together they may increase the risk of renal impairment and dehydration, and the glucose-lowering effect of ertugliflozin drops with reduced renal function.

How serious is the interaction between Ertugliflozin and Ifosfamide?

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 renal function and hydration status, and hold ertugliflozin during acute illness, vomiting or reduced intake. Watch for ketoacidosis in patients on chemotherapy.

What other medicines interact with Ifosfamide?

MediHelp also lists interactions of Ifosfamide with, for example, Adenovirus types 4 and 7 live, Measles mumps and rubella vaccine, Measles mumps and rubella vaccine live. The full list is on the Ifosfamide page.

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

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