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Drug interactions

Leflunomide + Oteseconazole

Severity: Moderate

Leflunomide and Oteseconazole: 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

Oteseconazole inhibits BCRP and may increase teriflunomide concentrations. This could raise the risk of hepatotoxicity and other leflunomide toxicities.

What this interaction means in plain words

Leflunomide and Oteseconazole 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; Oteseconazole belongs to Anti Fungals.

Evidence level: Low

Why it happens

Oteseconazole inhibits BCRP-mediated transport of teriflunomide.

What to do

Monitor liver enzymes and for adverse effects. Reduce the leflunomide dose if toxicity 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 Leflunomide with Oteseconazole?

MediHelp rates the interaction as moderate. Leflunomide and Oteseconazole 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. Oteseconazole inhibits BCRP and may increase teriflunomide concentrations. This could raise the risk of hepatotoxicity and other leflunomide toxicities.

How serious is the interaction between Leflunomide and Oteseconazole?

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 for adverse effects. Reduce the leflunomide dose if toxicity develops.

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.

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

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