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Drug interactions

Imatinib + Sulfamethoxazole

Severity: Minor

Imatinib and Sulfamethoxazole: 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

Sulfamethoxazole is a CYP2C9 substrate, but imatinib is only a weak CYP2C9 inhibitor and no clinically significant interaction is established. Both drugs can cause cytopenias and hepatotoxicity independently.

What this interaction means in plain words

Imatinib and Sulfamethoxazole 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

Weak CYP2C9 inhibition by imatinib; no clearly established effect.

What to do

No dose adjustment is needed; monitor blood counts and liver tests as routine.

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 Imatinib with Sulfamethoxazole?

MediHelp rates the interaction as minor. Imatinib and Sulfamethoxazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Sulfamethoxazole is a CYP2C9 substrate, but imatinib is only a weak CYP2C9 inhibitor and no clinically significant interaction is established. Both drugs can cause cytopenias and hepatotoxicity independently.

How serious is the interaction between Imatinib and Sulfamethoxazole?

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 adjustment is needed; monitor blood counts and liver tests as routine.

What other medicines interact with Imatinib?

MediHelp also lists interactions of Imatinib with, for example, Lomitapide, Lonafarnib, Amobarbital. The full list is on the Imatinib page.

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

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