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Drug interactions

Fedratinib + Regorafenib

Severity: Moderate

Fedratinib and Regorafenib: 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 increase regorafenib plasma concentrations. Higher regorafenib exposure raises the risk of hepatotoxicity, hypertension and hand-foot skin reaction.

What this interaction means in plain words

Fedratinib and Regorafenib 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; Regorafenib belongs to Oncology.

Evidence level: Moderate

Why it happens

Fedratinib inhibits CYP3A4-mediated metabolism of regorafenib.

What to do

Monitor liver function, blood pressure and skin toxicity, and reduce the regorafenib dose if adverse effects emerge. Consider an alternative to fedratinib if feasible.

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 Regorafenib?

MediHelp rates the interaction as moderate. Fedratinib and Regorafenib 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 increase regorafenib plasma concentrations. Higher regorafenib exposure raises the risk of hepatotoxicity, hypertension and hand-foot skin reaction.

How serious is the interaction between Fedratinib and Regorafenib?

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, blood pressure and skin toxicity, and reduce the regorafenib dose if adverse effects emerge. Consider an alternative to fedratinib if feasible.

What other medicines interact with Regorafenib?

MediHelp also lists interactions of Regorafenib with, for example, Apalutamide, Atazanavir, Carbamazepine. The full list is on the Regorafenib 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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