Drug interactions
Liposomal doxorubicin + Zidovudine
Severity: Major
Liposomal doxorubicin and Zidovudine: major 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
Both drugs can cause myelosuppression, so together they raise the risk of severe cytopenias. In vitro data also suggest doxorubicin may antagonize zidovudine's antiviral activity by impairing its activation.
What this interaction means in plain words
Liposomal doxorubicin and Zidovudine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Liposomal doxorubicin belongs to Oncology; Zidovudine belongs to Anti Virals.
Why it happens
Additive bone marrow suppression, plus in vitro inhibition of zidovudine phosphorylation by doxorubicin.
What to do
Avoid if possible by choosing a non-zidovudine antiretroviral; otherwise monitor blood counts and HIV viral load closely.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Liposomal doxorubicin
- Dengue vaccine + Liposomal doxorubicin Contraindicated
- Belatacept + Liposomal doxorubicin Major
- Cyclosporine + Liposomal doxorubicin Major
- Dronedarone + Liposomal doxorubicin Major
- Elvitegravir / cobicistat / emtricitabine / tenofovir df + Liposomal doxorubicin Major
- Fingolimod + Liposomal doxorubicin Major
Other interactions of Zidovudine
- Elvitegravir / cobicistat / emtricitabine / tenofovir df + Zidovudine Contraindicated
- Stavudine + Zidovudine Contraindicated
- Atidarsagene autotemcel + Zidovudine Major
- Betibeglogene autotemcel + Zidovudine Major
- Carboplatin + Zidovudine Major
- Cisplatin + Zidovudine Major
Frequently asked questions
Can I take Liposomal doxorubicin with Zidovudine?
MediHelp rates the interaction as major. Liposomal doxorubicin and Zidovudine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs can cause myelosuppression, so together they raise the risk of severe cytopenias. In vitro data also suggest doxorubicin may antagonize zidovudine's antiviral activity by impairing its activation.
How serious is the interaction between Liposomal doxorubicin and Zidovudine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible by choosing a non-zidovudine antiretroviral; otherwise monitor blood counts and HIV viral load closely.
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.
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