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Drug interactions

Interferon alfa 2b + Pretomanid

Severity: Major

Interferon alfa 2b and Pretomanid: 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

The pretomanid-containing regimen is associated with hepatotoxicity, and interferon alfa 2b can also cause hepatic injury. Using them together may increase the likelihood of liver toxicity during tuberculosis treatment.

What this interaction means in plain words

Interferon alfa 2b and Pretomanid 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.

Interferon alfa 2b belongs to Anti Virals; Pretomanid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Additive hepatotoxicity from two agents that can each injure the liver.

What to do

Avoid combining where possible. If it is necessary, monitor liver function tests regularly and interrupt therapy when significant hepatic injury occurs.

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 Interferon alfa 2b with Pretomanid?

MediHelp rates the interaction as major. Interferon alfa 2b and Pretomanid 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. The pretomanid-containing regimen is associated with hepatotoxicity, and interferon alfa 2b can also cause hepatic injury. Using them together may increase the likelihood of liver toxicity during tuberculosis treatment.

How serious is the interaction between Interferon alfa 2b and Pretomanid?

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 combining where possible. If it is necessary, monitor liver function tests regularly and interrupt therapy when significant hepatic injury occurs.

What other medicines interact with Interferon alfa 2b?

MediHelp also lists interactions of Interferon alfa 2b with, for example, Deferiprone, Hydroxyurea, Pexidartinib. The full list is on the Interferon alfa 2b page.

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