Drug interactions
Fingolimod + Pentostatin
Severity: Major
Fingolimod and Pentostatin: major 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
Pentostatin causes profound lymphocyte suppression, particularly of T cells, and fingolimod also reduces circulating lymphocytes. Together they may markedly increase susceptibility to opportunistic infection.
What this interaction means in plain words
Fingolimod and Pentostatin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Fingolimod belongs to Central Nervous System; Pentostatin belongs to Oncology.
Why it happens
Additive immunosuppression via adenosine deaminase inhibition-mediated lymphotoxicity and lymphocyte sequestration.
What to do
Avoid the combination where possible. If needed, monitor lymphocyte counts closely and consider antimicrobial prophylaxis.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Fingolimod
- Adenovirus types 4 and 7 live + Fingolimod Contraindicated
- Bcg vaccine live + Fingolimod Contraindicated
- Fingolimod + Pimozide Contraindicated
- Fingolimod + Ponesimod Contraindicated
- Fingolimod + Quinidine Contraindicated
- Fingolimod + Siponimod Contraindicated
Other interactions of Pentostatin
- Carmustine + Pentostatin Contraindicated
- Etoposide + Pentostatin Contraindicated
- Fludarabine + Pentostatin Contraindicated
- Cyclophosphamide + Pentostatin Major
- Deferiprone + Pentostatin Major
- Nelarabine + Pentostatin Major
Frequently asked questions
Can I take Fingolimod with Pentostatin?
MediHelp rates the interaction as major. Fingolimod and Pentostatin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Pentostatin causes profound lymphocyte suppression, particularly of T cells, and fingolimod also reduces circulating lymphocytes. Together they may markedly increase susceptibility to opportunistic infection.
How serious is the interaction between Fingolimod and Pentostatin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible. If needed, monitor lymphocyte counts closely and consider antimicrobial prophylaxis.
What other medicines interact with Fingolimod?
MediHelp also lists interactions of Fingolimod with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Pimozide. The full list is on the Fingolimod page.
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