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Drug interactions

Flutamide + Pexidartinib

Severity: Major

Flutamide and Pexidartinib: 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

Both flutamide and pexidartinib can cause serious liver injury, and combined use may increase the risk of severe hepatotoxicity. Pexidartinib is restricted through a risk program because of cholestatic liver injury.

What this interaction means in plain words

Flutamide and Pexidartinib 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.

Flutamide belongs to Endocrine; Pexidartinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive hepatotoxicity from two hepatotoxic drugs.

What to do

Avoid combining them. If unavoidable, monitor liver tests closely and stop treatment at signs of liver injury.

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?

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 Flutamide with Pexidartinib?

MediHelp rates the interaction as major. Flutamide and Pexidartinib 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. Both flutamide and pexidartinib can cause serious liver injury, and combined use may increase the risk of severe hepatotoxicity. Pexidartinib is restricted through a risk program because of cholestatic liver injury.

How serious is the interaction between Flutamide and Pexidartinib?

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 combining them. If unavoidable, monitor liver tests closely and stop treatment at signs of liver injury.

What other medicines interact with Flutamide?

MediHelp also lists interactions of Flutamide with, for example, Idelalisib, Levoketoconazole, Pretomanid. The full list is on the Flutamide page.

Full monographs, dosing and an interaction checker in the MediHelp app

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