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Drug interactions

Isoniazid + Pemigatinib

Severity: Moderate

Isoniazid and Pemigatinib: 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

Pemigatinib is cleared mainly by CYP3A4, and inhibitors increase its exposure and toxicity such as hyperphosphatemia and eye disorders. Isoniazid may modestly raise levels.

What this interaction means in plain words

Isoniazid and Pemigatinib 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; Pemigatinib belongs to Oncology.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by isoniazid may reduce pemigatinib clearance.

What to do

Monitor serum phosphate and ophthalmologic symptoms. Reduce the pemigatinib dose per labeling if adverse reactions occur.

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 Pemigatinib?

MediHelp rates the interaction as moderate. Isoniazid and Pemigatinib 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. Pemigatinib is cleared mainly by CYP3A4, and inhibitors increase its exposure and toxicity such as hyperphosphatemia and eye disorders. Isoniazid may modestly raise levels.

How serious is the interaction between Isoniazid and Pemigatinib?

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 serum phosphate and ophthalmologic symptoms. Reduce the pemigatinib dose per labeling if adverse reactions occur.

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.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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