Drug interactions
Floxuridine + Tofacitinib
Severity: Major
Floxuridine and Tofacitinib: 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
Floxuridine is a cytotoxic antimetabolite that causes myelosuppression. Combined with tofacitinib it increases the risk of serious infections.
What this interaction means in plain words
Floxuridine and Tofacitinib 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.
Why it happens
Additive immunosuppression and bone marrow suppression from fluoropyrimidine cytotoxicity and JAK inhibition.
What to do
Avoid concurrent use where possible and consider holding tofacitinib during treatment. Monitor blood counts and infections.
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 Tofacitinib
- Baricitinib + Tofacitinib Contraindicated
- Cladribine + Tofacitinib Contraindicated
- Tofacitinib + Upadacitinib Contraindicated
- Abatacept + Tofacitinib Major
- Anti-thymocyte + Tofacitinib Major
- Antithymocyte globulin equine + Tofacitinib Major
Frequently asked questions
Can I take Floxuridine with Tofacitinib?
MediHelp rates the interaction as major. Floxuridine and Tofacitinib 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. Floxuridine is a cytotoxic antimetabolite that causes myelosuppression. Combined with tofacitinib it increases the risk of serious infections.
How serious is the interaction between Floxuridine and Tofacitinib?
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 concurrent use where possible and consider holding tofacitinib during treatment. Monitor blood counts and infections.
What other medicines interact with Tofacitinib?
MediHelp also lists interactions of Tofacitinib with, for example, Baricitinib, Cladribine, Upadacitinib. The full list is on the Tofacitinib page.
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