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Drug interactions

Fedratinib + Paclitaxel

Severity: Moderate

Fedratinib and Paclitaxel: 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 paclitaxel concentrations. Because paclitaxel is partly cleared via CYP3A4, higher exposure could worsen neutropenia and neuropathy.

What this interaction means in plain words

Fedratinib and Paclitaxel 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; Paclitaxel belongs to Oncology.

Evidence level: Low

Why it happens

Fedratinib inhibits CYP3A4, reducing the secondary metabolic clearance of paclitaxel.

What to do

Monitor blood counts and neuropathy symptoms, and reduce the paclitaxel dose if toxicity emerges.

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 Paclitaxel?

MediHelp rates the interaction as moderate. Fedratinib and Paclitaxel 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 paclitaxel concentrations. Because paclitaxel is partly cleared via CYP3A4, higher exposure could worsen neutropenia and neuropathy.

How serious is the interaction between Fedratinib and Paclitaxel?

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 blood counts and neuropathy symptoms, and reduce the paclitaxel dose if toxicity emerges.

What other medicines interact with Paclitaxel?

MediHelp also lists interactions of Paclitaxel with, for example, Adenovirus types 4 and 7 live, Cobicistat, Cyclosporine. The full list is on the Paclitaxel page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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