Drug interactions
Gold sodium thiomalate + Penicillamine
Severity: Major
Gold sodium thiomalate and Penicillamine: 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 agents can cause bone marrow suppression and renal toxicity including proteinuria. Combined use increases the risk of serious haematologic and renal injury.
What this interaction means in plain words
Gold sodium thiomalate and Penicillamine 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 haematologic and nephrotoxic effects of two disease-modifying antirheumatic drugs.
What to do
Avoid concurrent use; choose a different DMARD. If either is used sequentially, monitor blood counts and urinalysis regularly.
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 Penicillamine
- Aluminum hydroxide + Penicillamine Moderate
- Calcium carbonate + Penicillamine Moderate
- Calcium + Penicillamine Moderate
- Carbonyl iron + Penicillamine Moderate
- Copper + Penicillamine Moderate
- Digoxin + Penicillamine Moderate
Frequently asked questions
Can I take Gold sodium thiomalate with Penicillamine?
MediHelp rates the interaction as major. Gold sodium thiomalate and Penicillamine 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 agents can cause bone marrow suppression and renal toxicity including proteinuria. Combined use increases the risk of serious haematologic and renal injury.
How serious is the interaction between Gold sodium thiomalate and Penicillamine?
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; choose a different DMARD. If either is used sequentially, monitor blood counts and urinalysis regularly.
What other medicines interact with Penicillamine?
MediHelp also lists interactions of Penicillamine with, for example, Aluminum hydroxide, Calcium carbonate, Calcium. The full list is on the Penicillamine page.
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