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Drug interactions

Fingolimod + Teniposide

Severity: Moderate

Fingolimod and Teniposide: 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

Teniposide causes significant myelosuppression, and fingolimod lowers lymphocyte counts. Used together they may increase the risk of serious infection.

What this interaction means in plain words

Fingolimod and Teniposide 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.

Evidence level: Low

Why it happens

Additive pharmacodynamic immunosuppression from topoisomerase II inhibitor myelosuppression and lymphocyte sequestration.

What to do

Monitor complete blood counts and infection signs. Consider interrupting fingolimod during chemotherapy.

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 Fingolimod with Teniposide?

MediHelp rates the interaction as moderate. Fingolimod and Teniposide 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. Teniposide causes significant myelosuppression, and fingolimod lowers lymphocyte counts. Used together they may increase the risk of serious infection.

How serious is the interaction between Fingolimod and Teniposide?

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 complete blood counts and infection signs. Consider interrupting fingolimod during chemotherapy.

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.

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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