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Drug interactions

Loratadine + Vinblastine

Severity: Minor

Loratadine and Vinblastine: 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

Vinblastine is a P-glycoprotein substrate, and loratadine may weakly inhibit this transporter. A rise in vinca alkaloid exposure is theoretically possible, which could increase myelosuppression or neurotoxicity, but clinical data are lacking.

What this interaction means in plain words

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

Loratadine belongs to Respiratory; Vinblastine belongs to Oncology.

Evidence level: Low

Why it happens

Possible P-glycoprotein inhibition by loratadine reduces vinblastine efflux.

What to do

Monitor blood counts and neurological status as per routine chemotherapy care.

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 Loratadine with Vinblastine?

MediHelp rates the interaction as minor. Loratadine and Vinblastine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Vinblastine is a P-glycoprotein substrate, and loratadine may weakly inhibit this transporter. A rise in vinca alkaloid exposure is theoretically possible, which could increase myelosuppression or neurotoxicity, but clinical data are lacking.

How serious is the interaction between Loratadine and Vinblastine?

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 and neurological status as per routine chemotherapy care.

What other medicines interact with Loratadine?

MediHelp also lists interactions of Loratadine with, for example, Acrivastine, Amobarbital, Fentanyl. The full list is on the Loratadine page.

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

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