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Drug interactions

Mitomycin + Tenofovir disoproxil

Severity: Moderate

Mitomycin and Tenofovir disoproxil: 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

Mitomycin can cause renal toxicity, including hemolytic uremic syndrome, and tenofovir may add to tubular injury. Concurrent use may increase the risk of kidney dysfunction, which in turn raises tenofovir exposure.

What this interaction means in plain words

Mitomycin and Tenofovir disoproxil 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.

Evidence level: Low

Why it happens

Additive nephrotoxicity with reduced renal clearance of tenofovir.

What to do

Monitor creatinine, phosphate and blood counts before and during mitomycin treatment. Adjust tenofovir for renal function or change to a less renally toxic agent if function declines.

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 Mitomycin with Tenofovir disoproxil?

MediHelp rates the interaction as moderate. Mitomycin and Tenofovir disoproxil 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. Mitomycin can cause renal toxicity, including hemolytic uremic syndrome, and tenofovir may add to tubular injury. Concurrent use may increase the risk of kidney dysfunction, which in turn raises tenofovir exposure.

How serious is the interaction between Mitomycin and Tenofovir disoproxil?

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 creatinine, phosphate and blood counts before and during mitomycin treatment. Adjust tenofovir for renal function or change to a less renally toxic agent if function declines.

What other medicines interact with Mitomycin?

MediHelp also lists interactions of Mitomycin with, for example, Bacitracin, Deferiprone, Dengue vaccine. The full list is on the Mitomycin page.

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