Drug interactions
Iloperidone + Vinblastine
Severity: Moderate
Iloperidone and Vinblastine: 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
Iloperidone has been described as a time-dependent CYP3A inhibitor and may modestly increase vinblastine exposure. This could increase the risk of myelosuppression and neurotoxicity.
What this interaction means in plain words
Iloperidone and Vinblastine 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.
Iloperidone belongs to Central Nervous System; Vinblastine belongs to Oncology.
Why it happens
Iloperidone inhibits CYP3A4 metabolism of vinblastine.
What to do
Monitor blood counts and neurologic status and reduce the vinblastine dose if toxicity appears.
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 Vinblastine
Other interactions of Iloperidone
- Iloperidone + Thioridazine Contraindicated
- Alfuzosin + Iloperidone Major
- Amiodarone + Iloperidone Major
- Amisulpride + Iloperidone Major
- Amitriptyline + Iloperidone Major
- Anagrelide + Iloperidone Major
Frequently asked questions
Can I take Iloperidone with Vinblastine?
MediHelp rates the interaction as moderate. Iloperidone and Vinblastine 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. Iloperidone has been described as a time-dependent CYP3A inhibitor and may modestly increase vinblastine exposure. This could increase the risk of myelosuppression and neurotoxicity.
How serious is the interaction between Iloperidone and Vinblastine?
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 neurologic status and reduce the vinblastine dose if toxicity appears.
What other medicines interact with Vinblastine?
MediHelp also lists interactions of Vinblastine with, for example, Adenovirus types 4 and 7 live, Apalutamide, Atazanavir. The full list is on the Vinblastine page.
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