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Drug interactions

Ifosfamide + Vedolizumab

Severity: Moderate

Ifosfamide and Vedolizumab: 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

Ifosfamide causes myelosuppression and immunosuppression, which may add to the immune effects of vedolizumab. This may increase the risk of infection, though vedolizumab acts mainly in the gut.

What this interaction means in plain words

Ifosfamide and Vedolizumab 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; Vedolizumab belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Additive immunosuppression: cytotoxic marrow suppression plus gut-selective alpha4beta7 integrin blockade.

What to do

Monitor blood counts and for signs of infection during chemotherapy cycles. Reassess vedolizumab timing if severe neutropenia occurs.

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?

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 Vedolizumab?

MediHelp rates the interaction as moderate. Ifosfamide and Vedolizumab 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 causes myelosuppression and immunosuppression, which may add to the immune effects of vedolizumab. This may increase the risk of infection, though vedolizumab acts mainly in the gut.

How serious is the interaction between Ifosfamide and Vedolizumab?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts and for signs of infection during chemotherapy cycles. Reassess vedolizumab timing if severe neutropenia occurs.

What other medicines interact with Vedolizumab?

MediHelp also lists interactions of Vedolizumab with, for example, Natalizumab, Baricitinib, Certolizumab pegol. The full list is on the Vedolizumab page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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