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Drug interactions

Obinutuzumab + Ublituximab

Severity: Major

Obinutuzumab and Ublituximab: 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 are anti-CD20 antibodies that deplete B cells. Combining them offers no therapeutic advantage and would increase the risk of serious infections, hypogammaglobulinemia and infusion reactions. Hepatitis B reactivation is a class concern.

What this interaction means in plain words

Obinutuzumab and Ublituximab 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.

Obinutuzumab belongs to Oncology; Ublituximab belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Duplicate anti-CD20 B-cell depletion producing additive immunosuppression.

What to do

Do not use two anti-CD20 antibodies together. If switching, allow for prolonged B-cell depletion and monitor for infection and immunoglobulin levels.

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?

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 Obinutuzumab with Ublituximab?

MediHelp rates the interaction as major. Obinutuzumab and Ublituximab 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 are anti-CD20 antibodies that deplete B cells. Combining them offers no therapeutic advantage and would increase the risk of serious infections, hypogammaglobulinemia and infusion reactions. Hepatitis B reactivation is a class concern.

How serious is the interaction between Obinutuzumab and Ublituximab?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use two anti-CD20 antibodies together. If switching, allow for prolonged B-cell depletion and monitor for infection and immunoglobulin levels.

What other medicines interact with Obinutuzumab?

MediHelp also lists interactions of Obinutuzumab with, for example, Measles mumps and rubella vaccine, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel. The full list is on the Obinutuzumab page.

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