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Drug interactions

Nitrofurantoin + Regorafenib

Severity: Minor

Nitrofurantoin and Regorafenib: 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

Regorafenib may inhibit the efflux transporter BCRP, which handles nitrofurantoin. Exposure to nitrofurantoin could rise, though the clinical importance is uncertain.

What this interaction means in plain words

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

Nitrofurantoin belongs to Anti Bacterial; Regorafenib belongs to Oncology.

Evidence level: Low

Why it happens

Inhibition of BCRP (ABCG2) by regorafenib, predicted to reduce efflux of nitrofurantoin.

What to do

No dose change is usually needed; watch for nitrofurantoin adverse effects such as nausea, neuropathy or pulmonary symptoms during prolonged use.

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 Nitrofurantoin with Regorafenib?

MediHelp rates the interaction as minor. Nitrofurantoin and Regorafenib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Regorafenib may inhibit the efflux transporter BCRP, which handles nitrofurantoin. Exposure to nitrofurantoin could rise, though the clinical importance is uncertain.

How serious is the interaction between Nitrofurantoin and Regorafenib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is usually needed; watch for nitrofurantoin adverse effects such as nausea, neuropathy or pulmonary symptoms during prolonged use.

What other medicines interact with Nitrofurantoin?

MediHelp also lists interactions of Nitrofurantoin with, for example, Pexidartinib, Pretomanid, Aluminum hydroxide. The full list is on the Nitrofurantoin page.

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

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