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Drug interactions

Ixekizumab + Lomustine

Severity: Moderate

Ixekizumab and Lomustine: 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

Lomustine causes myelosuppression and immune suppression, while ixekizumab blocks IL-17A signaling and impairs host defense. Together they may raise the risk of serious bacterial, fungal or opportunistic infections.

What this interaction means in plain words

Ixekizumab and Lomustine 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.

Ixekizumab belongs to Miscellaneous; Lomustine belongs to Oncology.

Evidence level: Low

Why it happens

Additive immunosuppression: cytotoxic marrow suppression plus IL-17A antagonism.

What to do

Screen for active infection before and during therapy and monitor neutrophil counts. Hold ixekizumab if a serious infection 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 Ixekizumab with Lomustine?

MediHelp rates the interaction as moderate. Ixekizumab and Lomustine 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. Lomustine causes myelosuppression and immune suppression, while ixekizumab blocks IL-17A signaling and impairs host defense. Together they may raise the risk of serious bacterial, fungal or opportunistic infections.

How serious is the interaction between Ixekizumab and Lomustine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Screen for active infection before and during therapy and monitor neutrophil counts. Hold ixekizumab if a serious infection develops.

What other medicines interact with Lomustine?

MediHelp also lists interactions of Lomustine with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Lomustine page.

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

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