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Drug interactions

Infliximab + Pretomanid

Severity: Moderate

Infliximab and Pretomanid: 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

Pretomanid-containing regimens are associated with hepatotoxicity, and infliximab can rarely cause liver injury. Using them together may increase the chance of liver injury.

What this interaction means in plain words

Infliximab and Pretomanid 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.

Infliximab belongs to Musculoskeletal; Pretomanid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Additive hepatotoxic potential; no pharmacokinetic interaction is established.

What to do

Monitor liver enzymes at baseline and regularly during treatment. Interrupt the offending drugs if significant hepatic injury develops.

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 Infliximab with Pretomanid?

MediHelp rates the interaction as moderate. Infliximab and Pretomanid 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. Pretomanid-containing regimens are associated with hepatotoxicity, and infliximab can rarely cause liver injury. Using them together may increase the chance of liver injury.

How serious is the interaction between Infliximab and Pretomanid?

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 liver enzymes at baseline and regularly during treatment. Interrupt the offending drugs if significant hepatic injury develops.

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.

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

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