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Drug interactions

Hydrocortisone + Sargramostim

Severity: Minor

Hydrocortisone and Sargramostim: minor 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

Corticosteroids can raise neutrophil counts through demargination, which may add to the leukocytosis caused by sargramostim. Corticosteroids may also blunt the inflammatory actions of the growth factor.

What this interaction means in plain words

Hydrocortisone and Sargramostim have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Hydrocortisone belongs to Endocrine; Sargramostim belongs to Miscellaneous.

Evidence level: Low

Why it happens

Additive increase in circulating white cells via corticosteroid demargination plus colony-stimulating factor effect.

What to do

Monitor white blood cell counts and interpret leukocytosis with the steroid effect in mind.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Hydrocortisone with Sargramostim?

MediHelp rates the interaction as minor. Hydrocortisone and Sargramostim have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Corticosteroids can raise neutrophil counts through demargination, which may add to the leukocytosis caused by sargramostim. Corticosteroids may also blunt the inflammatory actions of the growth factor.

How serious is the interaction between Hydrocortisone and Sargramostim?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor white blood cell counts and interpret leukocytosis with the steroid effect in mind.

What other medicines interact with Hydrocortisone?

MediHelp also lists interactions of Hydrocortisone with, for example, Mifepristone, Poliovirus vaccine live oral trivalent, Smallpox vaccine live. The full list is on the Hydrocortisone page.

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