Drug interactions
Ifosfamide + Sargramostim
Severity: Moderate
Ifosfamide and Sargramostim: 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
Sargramostim stimulates proliferation of myeloid progenitor cells, which makes them more susceptible to damage from cytotoxic drugs. Giving it close to ifosfamide may worsen myelosuppression or blunt its intended benefit.
What this interaction means in plain words
Ifosfamide and Sargramostim 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.
Ifosfamide belongs to Oncology; Sargramostim belongs to Miscellaneous.
Why it happens
Growth factor-driven cycling of hematopoietic progenitors increases their sensitivity to cytotoxic chemotherapy.
What to do
Do not give sargramostim within 24 hours before or after ifosfamide. Monitor blood counts throughout treatment.
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?
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Other interactions of Ifosfamide
- Adenovirus types 4 and 7 live + Ifosfamide Contraindicated
- Ifosfamide + Measles mumps and rubella vaccine Contraindicated
- Ifosfamide + Measles mumps and rubella vaccine live Contraindicated
- Ifosfamide + Measles mumps rubella and varicella vaccine live Contraindicated
- Ifosfamide + Measles vaccine Contraindicated
- Ifosfamide + Rotavirus oral vaccine live Contraindicated
Other interactions of Sargramostim
Frequently asked questions
Can I take Ifosfamide with Sargramostim?
MediHelp rates the interaction as moderate. Ifosfamide and Sargramostim 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. Sargramostim stimulates proliferation of myeloid progenitor cells, which makes them more susceptible to damage from cytotoxic drugs. Giving it close to ifosfamide may worsen myelosuppression or blunt its intended benefit.
How serious is the interaction between Ifosfamide and Sargramostim?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give sargramostim within 24 hours before or after ifosfamide. Monitor blood counts throughout treatment.
What other medicines interact with Ifosfamide?
MediHelp also lists interactions of Ifosfamide with, for example, Adenovirus types 4 and 7 live, Measles mumps and rubella vaccine, Measles mumps and rubella vaccine live. The full list is on the Ifosfamide page.
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