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.
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?
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Other interactions of Imatinib
- Imatinib + Lomitapide Contraindicated
- Imatinib + Lonafarnib Contraindicated
- Amobarbital + Imatinib Major
- Apalutamide + Imatinib Major
- Avapritinib + Imatinib Major
- Benzhydrocodone / acetaminophen + Imatinib Major
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.
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