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Drug interactions

Fedratinib + Sunitinib

Severity: Moderate

Fedratinib and Sunitinib: 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 sunitinib exposure. This could heighten sunitinib toxicities such as hepatotoxicity, hypertension, cytopenias and QT effects.

What this interaction means in plain words

Fedratinib and Sunitinib 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; Sunitinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4-mediated sunitinib metabolism.

What to do

Monitor for sunitinib adverse effects and liver function, and reduce the sunitinib dose if toxicity 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 Sunitinib?

MediHelp rates the interaction as moderate. Fedratinib and Sunitinib 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 sunitinib exposure. This could heighten sunitinib toxicities such as hepatotoxicity, hypertension, cytopenias and QT effects.

How serious is the interaction between Fedratinib and Sunitinib?

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 sunitinib adverse effects and liver function, and reduce the sunitinib dose if toxicity occurs.

What other medicines interact with Sunitinib?

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