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Drug interactions

Infliximab + Muromonab cd3

Severity: Major

Infliximab and Muromonab cd3: major 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

Muromonab-CD3 causes marked T-cell depletion, and adding infliximab increases the risk of severe infection and lymphoproliferative disease. Muromonab-CD3 is no longer marketed in most countries.

What this interaction means in plain words

Infliximab and Muromonab cd3 can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Low

Why it happens

Additive immunosuppression from T-cell depletion and TNF-alpha blockade.

What to do

Avoid concurrent use. If immunosuppression is unavoidable, monitor closely for infection.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Infliximab with Muromonab cd3?

MediHelp rates the interaction as major. Infliximab and Muromonab cd3 can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Muromonab-CD3 causes marked T-cell depletion, and adding infliximab increases the risk of severe infection and lymphoproliferative disease. Muromonab-CD3 is no longer marketed in most countries.

How serious is the interaction between Infliximab and Muromonab cd3?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use. If immunosuppression is unavoidable, monitor closely for infection.

What other medicines interact with Infliximab?

MediHelp also lists interactions of Infliximab with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine. The full list is on the Infliximab page.

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