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Drug interactions

Gefitinib + Mifepristone

Severity: Moderate

Gefitinib and Mifepristone: 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

Mifepristone inhibits CYP3A4, which is the main pathway for gefitinib metabolism. Gefitinib exposure may rise, increasing diarrhea, rash and hepatotoxicity.

What this interaction means in plain words

Gefitinib and Mifepristone 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.

Gefitinib belongs to Oncology; Mifepristone belongs to Endocrine.

Evidence level: Moderate

Why it happens

Mifepristone inhibits CYP3A4 metabolism of gefitinib.

What to do

Monitor for gefitinib adverse effects including diarrhea, skin reactions and liver enzyme elevation. Interrupt or reduce therapy if toxicity develops.

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 Gefitinib with Mifepristone?

MediHelp rates the interaction as moderate. Gefitinib and Mifepristone 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. Mifepristone inhibits CYP3A4, which is the main pathway for gefitinib metabolism. Gefitinib exposure may rise, increasing diarrhea, rash and hepatotoxicity.

How serious is the interaction between Gefitinib and Mifepristone?

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 for gefitinib adverse effects including diarrhea, skin reactions and liver enzyme elevation. Interrupt or reduce therapy if toxicity develops.

What other medicines interact with Mifepristone?

MediHelp also lists interactions of Mifepristone with, for example, Apixaban, Argatroban, Cisapride. The full list is on the Mifepristone page.

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

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