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Drug interactions

Ifosfamide + Schisandra

Severity: Minor

Ifosfamide and Schisandra: 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

Schisandra constituents have shown CYP3A4 effects in laboratory and limited human studies, so they might alter ifosfamide metabolism. The direction and size of the effect in patients are not established.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Possible modulation of CYP3A4 by schisandra constituents; not clearly established clinically.

What to do

Advise patients to avoid herbal supplements such as schisandra during ifosfamide chemotherapy. Monitor response and toxicity if used.

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 Ifosfamide with Schisandra?

MediHelp rates the interaction as minor. Ifosfamide and Schisandra have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Schisandra constituents have shown CYP3A4 effects in laboratory and limited human studies, so they might alter ifosfamide metabolism. The direction and size of the effect in patients are not established.

How serious is the interaction between Ifosfamide and Schisandra?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to avoid herbal supplements such as schisandra during ifosfamide chemotherapy. Monitor response and toxicity if used.

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.

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

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