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Drug interactions

Liposomal doxorubicin + Rucaparib

Severity: Minor

Liposomal doxorubicin and Rucaparib: 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

Rucaparib is a moderate CYP3A4 inhibitor in vitro, but doxorubicin relies little on CYP3A4, so a clinically important rise in exposure is unlikely. The two drugs share overlapping myelosuppression, which is the practical concern.

What this interaction means in plain words

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

Liposomal doxorubicin belongs to Oncology; Rucaparib belongs to Oncology.

Evidence level: Low

Why it happens

Rucaparib inhibits CYP3A4, a minor route for doxorubicin; additive bone marrow suppression may also occur.

What to do

Monitor blood counts regularly. Adjust doses based on hematologic toxicity.

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 Liposomal doxorubicin with Rucaparib?

MediHelp rates the interaction as minor. Liposomal doxorubicin and Rucaparib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Rucaparib is a moderate CYP3A4 inhibitor in vitro, but doxorubicin relies little on CYP3A4, so a clinically important rise in exposure is unlikely. The two drugs share overlapping myelosuppression, which is the practical concern.

How serious is the interaction between Liposomal doxorubicin and Rucaparib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts regularly. Adjust doses based on hematologic toxicity.

What other medicines interact with Liposomal doxorubicin?

MediHelp also lists interactions of Liposomal doxorubicin with, for example, Dengue vaccine, Belatacept, Cyclosporine. The full list is on the Liposomal doxorubicin page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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