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Drug interactions

Ixazomib + Ribociclib

Severity: Minor

Ixazomib and Ribociclib: 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

Ribociclib is a moderate CYP3A4 inhibitor, but ixazomib is cleared by multiple pathways and its labeling shows no clinically significant effect from CYP3A inhibitors. Any rise in exposure is expected to be small.

What this interaction means in plain words

Ixazomib and Ribociclib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Ixazomib belongs to Oncology; Ribociclib belongs to Oncology.

Evidence level: Low

Why it happens

Ribociclib inhibits CYP3A4, which plays only a minor role in ixazomib clearance.

What to do

No dose adjustment is needed; monitor for ixazomib adverse effects such as thrombocytopenia and gastrointestinal upset.

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?

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 Ixazomib with Ribociclib?

MediHelp rates the interaction as minor. Ixazomib and Ribociclib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ribociclib is a moderate CYP3A4 inhibitor, but ixazomib is cleared by multiple pathways and its labeling shows no clinically significant effect from CYP3A inhibitors. Any rise in exposure is expected to be small.

How serious is the interaction between Ixazomib and Ribociclib?

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 adjustment is needed; monitor for ixazomib adverse effects such as thrombocytopenia and gastrointestinal upset.

What other medicines interact with Ixazomib?

MediHelp also lists interactions of Ixazomib with, for example, Apalutamide, Carbamazepine, Dabrafenib. The full list is on the Ixazomib page.

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

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