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Drug interactions

Fedratinib + Flutamide

Severity: Moderate

Fedratinib and Flutamide: 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

Fedratinib is a moderate CYP3A4 inhibitor and may raise flutamide exposure. Flutamide is hepatotoxic, and flutamide is metabolized by CYP1A2 as well as other pathways, so the effect is uncertain but plausible.

What this interaction means in plain words

Fedratinib and Flutamide 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.

Fedratinib belongs to Oncology; Flutamide belongs to Endocrine.

Evidence level: Low

Why it happens

Fedratinib inhibits CYP3A4, potentially reducing flutamide metabolism.

What to do

Monitor liver function tests regularly and watch for flutamide adverse effects. Consider stopping flutamide if transaminases rise.

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 Fedratinib with Flutamide?

MediHelp rates the interaction as moderate. Fedratinib and Flutamide 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. Fedratinib is a moderate CYP3A4 inhibitor and may raise flutamide exposure. Flutamide is hepatotoxic, and flutamide is metabolized by CYP1A2 as well as other pathways, so the effect is uncertain but plausible.

How serious is the interaction between Fedratinib and Flutamide?

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 liver function tests regularly and watch for flutamide adverse effects. Consider stopping flutamide if transaminases rise.

What other medicines interact with Flutamide?

MediHelp also lists interactions of Flutamide with, for example, Idelalisib, Levoketoconazole, Pexidartinib. The full list is on the Flutamide page.

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