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Drug interactions

Fedratinib + Sorafenib

Severity: Moderate

Fedratinib and Sorafenib: 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 could raise sorafenib exposure. Sorafenib is only partly cleared via CYP3A4, so the effect is probably modest, but adverse reactions may increase.

What this interaction means in plain words

Fedratinib and Sorafenib 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; Sorafenib belongs to Oncology.

Evidence level: Low

Why it happens

Fedratinib inhibits CYP3A4, reducing sorafenib oxidative metabolism.

What to do

Monitor for sorafenib adverse effects, including skin toxicity, hypertension and diarrhea. Reduce the dose or interrupt treatment if toxicity develops.

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 Sorafenib?

MediHelp rates the interaction as moderate. Fedratinib and Sorafenib 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 could raise sorafenib exposure. Sorafenib is only partly cleared via CYP3A4, so the effect is probably modest, but adverse reactions may increase.

How serious is the interaction between Fedratinib and Sorafenib?

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 sorafenib adverse effects, including skin toxicity, hypertension and diarrhea. Reduce the dose or interrupt treatment if toxicity develops.

What other medicines interact with Sorafenib?

MediHelp also lists interactions of Sorafenib with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Sorafenib 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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