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Drug interactions

Olaparib + Thioguanine

Severity: Moderate

Olaparib and Thioguanine: 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

Both drugs suppress bone marrow, and olaparib frequently causes anemia, neutropenia and thrombocytopenia. Combined use may produce more severe or prolonged cytopenias.

What this interaction means in plain words

Olaparib and Thioguanine 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.

Olaparib belongs to Oncology; Thioguanine belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive myelosuppression through DNA-damaging and PARP-inhibitory effects.

What to do

Monitor complete blood counts regularly and reduce or interrupt either drug for significant cytopenias.

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 Olaparib with Thioguanine?

MediHelp rates the interaction as moderate. Olaparib and Thioguanine 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. Both drugs suppress bone marrow, and olaparib frequently causes anemia, neutropenia and thrombocytopenia. Combined use may produce more severe or prolonged cytopenias.

How serious is the interaction between Olaparib and Thioguanine?

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 complete blood counts regularly and reduce or interrupt either drug for significant cytopenias.

What other medicines interact with Thioguanine?

MediHelp also lists interactions of Thioguanine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Thioguanine page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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