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Drug interactions

Etrasimod + Sunitinib

Severity: Major

Etrasimod and Sunitinib: 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

Etrasimod is a sphingosine 1-phosphate receptor modulator that reduces circulating lymphocytes, and sunitinib is a myelosuppressive antineoplastic. Together they may add to immunosuppression and the risk of infection, and the combination has not been studied.

What this interaction means in plain words

Etrasimod and Sunitinib 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.

Etrasimod belongs to Gastrointestinal Tract; Sunitinib belongs to Oncology.

Evidence level: Low

Why it happens

Additive immunosuppressive effects from lymphocyte sequestration and antineoplastic myelosuppression.

What to do

Avoid the combination where possible. If both are required, monitor blood counts and watch closely for infection.

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?

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 Etrasimod with Sunitinib?

MediHelp rates the interaction as major. Etrasimod and Sunitinib 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. Etrasimod is a sphingosine 1-phosphate receptor modulator that reduces circulating lymphocytes, and sunitinib is a myelosuppressive antineoplastic. Together they may add to immunosuppression and the risk of infection, and the combination has not been studied.

How serious is the interaction between Etrasimod and Sunitinib?

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 the combination where possible. If both are required, monitor blood counts and watch closely for infection.

What other medicines interact with Sunitinib?

MediHelp also lists interactions of Sunitinib with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Sunitinib page.

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

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