Drug interactions
Itraconazole + Pomalidomide
Severity: Minor
Itraconazole and Pomalidomide: minor 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
Itraconazole inhibits CYP3A4 and P-glycoprotein and may raise pomalidomide exposure. Studies of a strong CYP3A4/P-gp inhibitor showed no clinically important change, so the effect is expected to be limited.
What this interaction means in plain words
Itraconazole and Pomalidomide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Itraconazole belongs to Anti Fungals; Pomalidomide belongs to Miscellaneous.
Why it happens
Possible inhibition of CYP3A4 and P-gp pathways involved in pomalidomide clearance.
What to do
No dose change is typically needed. Monitor for hematologic toxicity as usual with pomalidomide.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Itraconazole
- Alfuzosin + Itraconazole Contraindicated
- Alprazolam + Itraconazole Contraindicated
- Avanafil + Itraconazole Contraindicated
- Conivaptan + Itraconazole Contraindicated
- Dihydroergotamine intranasal + Itraconazole Contraindicated
- Dihydroergotamine + Itraconazole Contraindicated
Other interactions of Pomalidomide
- Deferiprone + Pomalidomide Major
- Ethinyl estradiol-drospirenone + Pomalidomide Major
- Fluvoxamine + Pomalidomide Major
- Apalutamide + Pomalidomide Moderate
- Brivaracetam + Pomalidomide Moderate
- Carbamazepine + Pomalidomide Moderate
Frequently asked questions
Can I take Itraconazole with Pomalidomide?
MediHelp rates the interaction as minor. Itraconazole and Pomalidomide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Itraconazole inhibits CYP3A4 and P-glycoprotein and may raise pomalidomide exposure. Studies of a strong CYP3A4/P-gp inhibitor showed no clinically important change, so the effect is expected to be limited.
How serious is the interaction between Itraconazole and Pomalidomide?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is typically needed. Monitor for hematologic toxicity as usual with pomalidomide.
What other medicines interact with Itraconazole?
MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole page.
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