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Drug interactions

Leflunomide + Momelotinib

Severity: Moderate

Leflunomide and Momelotinib: 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

Momelotinib inhibits BCRP and may raise teriflunomide exposure. This may increase leflunomide-related adverse effects, particularly hepatotoxicity.

What this interaction means in plain words

Leflunomide and Momelotinib 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.

Leflunomide belongs to Musculoskeletal; Momelotinib belongs to Oncology.

Evidence level: Low

Why it happens

Momelotinib inhibits BCRP, reducing efflux of teriflunomide.

What to do

Monitor liver enzymes and blood counts. Consider reducing the leflunomide dose if toxicity occurs.

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 Leflunomide with Momelotinib?

MediHelp rates the interaction as moderate. Leflunomide and Momelotinib 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. Momelotinib inhibits BCRP and may raise teriflunomide exposure. This may increase leflunomide-related adverse effects, particularly hepatotoxicity.

How serious is the interaction between Leflunomide and Momelotinib?

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 liver enzymes and blood counts. Consider reducing the leflunomide dose if toxicity occurs.

What other medicines interact with Leflunomide?

MediHelp also lists interactions of Leflunomide with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Leflunomide page.

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