Drug interactions
Flutamide + Valoctocogene roxaparvovec
Severity: Major
Flutamide and Valoctocogene roxaparvovec: 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
Flutamide carries a boxed warning for hepatotoxicity, and valoctocogene roxaparvovec commonly causes transaminase elevations. Combining them may raise the risk of liver injury and complicate interpretation of liver tests.
What this interaction means in plain words
Flutamide and Valoctocogene roxaparvovec 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; Valoctocogene roxaparvovec belongs to Miscellaneous.
Why it happens
Additive hepatotoxicity from two agents that each can injure the liver.
What to do
Avoid flutamide where possible around gene therapy; if unavoidable, monitor ALT/AST frequently and use an alternative antiandrogen with less hepatotoxic potential.
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 Flutamide
- Flutamide + Idelalisib Major
- Flutamide + Levoketoconazole Major
- Flutamide + Pexidartinib Major
- Flutamide + Pretomanid Major
- Apalutamide + Flutamide Moderate
- Bupivacaine implant + Flutamide Moderate
Other interactions of Valoctocogene roxaparvovec
Frequently asked questions
Can I take Flutamide with Valoctocogene roxaparvovec?
MediHelp rates the interaction as major. Flutamide and Valoctocogene roxaparvovec 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 carries a boxed warning for hepatotoxicity, and valoctocogene roxaparvovec commonly causes transaminase elevations. Combining them may raise the risk of liver injury and complicate interpretation of liver tests.
How serious is the interaction between Flutamide and Valoctocogene roxaparvovec?
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 flutamide where possible around gene therapy; if unavoidable, monitor ALT/AST frequently and use an alternative antiandrogen with less hepatotoxic potential.
What other medicines interact with Flutamide?
MediHelp also lists interactions of Flutamide with, for example, Idelalisib, Levoketoconazole, Pexidartinib. The full list is on the Flutamide page.
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