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Drug interactions

Ofatumumab sc + Procarbazine

Severity: Moderate

Ofatumumab sc and Procarbazine: 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

Procarbazine is a myelosuppressive cytotoxic agent and ofatumumab depletes B cells, so combined use may increase immunosuppression. This raises the risk of serious or opportunistic infections. Ofatumumab SC is used for multiple sclerosis, so concurrent use would be unusual.

What this interaction means in plain words

Ofatumumab sc and Procarbazine 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: Moderate

Why it happens

Additive immunosuppression from B-cell depletion and cytotoxic bone marrow suppression.

What to do

Monitor blood counts and signs of infection, and consider delaying ofatumumab until chemotherapy-related immunosuppression has resolved. Check immunoglobulin levels and screen for hepatitis B before treatment.

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 Ofatumumab sc with Procarbazine?

MediHelp rates the interaction as moderate. Ofatumumab sc and Procarbazine 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. Procarbazine is a myelosuppressive cytotoxic agent and ofatumumab depletes B cells, so combined use may increase immunosuppression. This raises the risk of serious or opportunistic infections. Ofatumumab SC is used for multiple sclerosis, so concurrent use would be unusual.

How serious is the interaction between Ofatumumab sc and Procarbazine?

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 blood counts and signs of infection, and consider delaying ofatumumab until chemotherapy-related immunosuppression has resolved. Check immunoglobulin levels and screen for hepatitis B before treatment.

What other medicines interact with Procarbazine?

MediHelp also lists interactions of Procarbazine with, for example, Adenovirus types 4 and 7 live, Amitriptyline, Amoxapine. The full list is on the Procarbazine page.

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