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Drug interactions

Oxaliplatin + Trilaciclib

Severity: Moderate

Oxaliplatin and Trilaciclib: 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

Trilaciclib inhibits the renal transporters OCT2, MATE1 and MATE2-K, which are involved in the renal handling of platinum compounds. This may change oxaliplatin exposure in the kidney and blood and potentially alter its toxicity.

What this interaction means in plain words

Oxaliplatin and Trilaciclib 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.

Oxaliplatin belongs to Oncology; Trilaciclib belongs to Oncology.

Evidence level: Low

Why it happens

Inhibition of OCT2/MATE1/MATE2-K may alter the renal transport and clearance of oxaliplatin.

What to do

Monitor renal function and signs of oxaliplatin toxicity such as neuropathy and myelosuppression. Consider avoiding trilaciclib with oxaliplatin unless the benefit is clear.

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 Oxaliplatin with Trilaciclib?

MediHelp rates the interaction as moderate. Oxaliplatin and Trilaciclib 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. Trilaciclib inhibits the renal transporters OCT2, MATE1 and MATE2-K, which are involved in the renal handling of platinum compounds. This may change oxaliplatin exposure in the kidney and blood and potentially alter its toxicity.

How serious is the interaction between Oxaliplatin and Trilaciclib?

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 renal function and signs of oxaliplatin toxicity such as neuropathy and myelosuppression. Consider avoiding trilaciclib with oxaliplatin unless the benefit is clear.

What other medicines interact with Oxaliplatin?

MediHelp also lists interactions of Oxaliplatin with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Oxaliplatin page.

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