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Drug interactions

Fedratinib + Maprotiline

Severity: Moderate

Fedratinib and Maprotiline: 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 CYP2D6 and may raise maprotiline exposure, which increases the risk of anticholinergic effects, sedation, seizures and cardiac toxicity.

What this interaction means in plain words

Fedratinib and Maprotiline 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; Maprotiline belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Inhibition of CYP2D6-mediated maprotiline metabolism by fedratinib.

What to do

Monitor for signs of maprotiline excess and reduce its dose as needed. Consider an ECG if symptoms of toxicity occur.

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 Maprotiline?

MediHelp rates the interaction as moderate. Fedratinib and Maprotiline 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 CYP2D6 and may raise maprotiline exposure, which increases the risk of anticholinergic effects, sedation, seizures and cardiac toxicity.

How serious is the interaction between Fedratinib and Maprotiline?

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 signs of maprotiline excess and reduce its dose as needed. Consider an ECG if symptoms of toxicity occur.

What other medicines interact with Maprotiline?

MediHelp also lists interactions of Maprotiline with, for example, Arsenic trioxide, Disopyramide, Dofetilide. The full list is on the Maprotiline page.

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

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