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Drug interactions

Fedratinib + Ifosfamide

Severity: Moderate

Fedratinib 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

Fedratinib inhibits CYP3A4 and CYP2C19, which participate in ifosfamide metabolism, so it may change the balance of active and toxic metabolites. The clinical effect is uncertain and based on prediction.

What this interaction means in plain words

Fedratinib 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.

Fedratinib belongs to Oncology; Ifosfamide belongs to Oncology.

Evidence level: Low

Why it happens

Inhibition of CYP3A4 and CYP2C19 by fedratinib alters ifosfamide metabolism.

What to do

Monitor for ifosfamide efficacy and toxicity, including neurotoxicity and myelosuppression. Adjust the ifosfamide dose according to tolerance.

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 Ifosfamide?

MediHelp rates the interaction as moderate. Fedratinib 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. Fedratinib inhibits CYP3A4 and CYP2C19, which participate in ifosfamide metabolism, so it may change the balance of active and toxic metabolites. The clinical effect is uncertain and based on prediction.

How serious is the interaction between Fedratinib 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 for ifosfamide efficacy and toxicity, including neurotoxicity and myelosuppression. Adjust the ifosfamide dose according to tolerance.

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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