Drug interactions
Ifosfamide + Sertraline
Severity: Minor
Ifosfamide and Sertraline: 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
Ifosfamide is activated mainly by CYP3A4 and CYP2B6. Sertraline is a weak inhibitor of these enzymes, so any reduction in activation is probably small and of uncertain clinical significance.
What this interaction means in plain words
Ifosfamide and Sertraline have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Ifosfamide belongs to Oncology; Sertraline belongs to Central Nervous System.
Why it happens
Possible weak inhibition of CYP-mediated activation of ifosfamide.
What to do
No dose change is generally needed. Monitor for reduced response and for neurotoxicity during ifosfamide therapy.
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?
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Other interactions of Sertraline
- Isocarboxazid + Sertraline Contraindicated
- Methylene blue + Sertraline Contraindicated
- Phenelzine + Sertraline Contraindicated
- Pimozide + Sertraline Contraindicated
- Selegiline transdermal + Sertraline Contraindicated
- Selegiline + Sertraline Contraindicated
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
Frequently asked questions
Can I take Ifosfamide with Sertraline?
MediHelp rates the interaction as minor. Ifosfamide and Sertraline have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ifosfamide is activated mainly by CYP3A4 and CYP2B6. Sertraline is a weak inhibitor of these enzymes, so any reduction in activation is probably small and of uncertain clinical significance.
How serious is the interaction between Ifosfamide and Sertraline?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is generally needed. Monitor for reduced response and for neurotoxicity during ifosfamide therapy.
What other medicines interact with Sertraline?
MediHelp also lists interactions of Sertraline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Sertraline page.
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