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Drug interactions

Isoniazid + Olaparib

Severity: Moderate

Isoniazid and Olaparib: 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

Olaparib is metabolized by CYP3A4, and inhibitors can increase exposure and the risk of anemia, nausea and other toxicity. Isoniazid is only a weak inhibitor, so the effect is likely modest.

What this interaction means in plain words

Isoniazid and Olaparib 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.

Isoniazid belongs to Anti Bacterial; Olaparib belongs to Oncology.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by isoniazid may raise olaparib concentrations.

What to do

Monitor blood counts and tolerability. Reduce the olaparib dose if hematologic or other toxicity 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 Isoniazid with Olaparib?

MediHelp rates the interaction as moderate. Isoniazid and Olaparib 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. Olaparib is metabolized by CYP3A4, and inhibitors can increase exposure and the risk of anemia, nausea and other toxicity. Isoniazid is only a weak inhibitor, so the effect is likely modest.

How serious is the interaction between Isoniazid and Olaparib?

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 blood counts and tolerability. Reduce the olaparib dose if hematologic or other toxicity develops.

What other medicines interact with Isoniazid?

MediHelp also lists interactions of Isoniazid with, for example, Bacillus calmette-guerin substrain tice, Benzhydrocodone / acetaminophen, Carbamazepine. The full list is on the Isoniazid page.

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