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Drug interactions

Fedratinib + Propranolol

Severity: Moderate

Fedratinib and Propranolol: 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 can raise concentrations of propranolol, which is partly metabolized by this enzyme. This may lead to bradycardia and hypotension.

What this interaction means in plain words

Fedratinib and Propranolol 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; Propranolol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Fedratinib inhibits CYP2D6, reducing propranolol clearance.

What to do

Monitor heart rate and blood pressure and reduce the propranolol dose if bradycardia or hypotension occurs.

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 Propranolol?

MediHelp rates the interaction as moderate. Fedratinib and Propranolol 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 can raise concentrations of propranolol, which is partly metabolized by this enzyme. This may lead to bradycardia and hypotension.

How serious is the interaction between Fedratinib and Propranolol?

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 heart rate and blood pressure and reduce the propranolol dose if bradycardia or hypotension occurs.

What other medicines interact with Propranolol?

MediHelp also lists interactions of Propranolol with, for example, Thioridazine, Acebutolol, Adrenaline-articaine. The full list is on the Propranolol page.

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

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