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Drug interactions

Oxaliplatin + Zidovudine

Severity: Moderate

Oxaliplatin and Zidovudine: 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

Oxaliplatin can cause neutropenia, thrombocytopenia and anemia, and zidovudine adds marrow toxicity. The combination may increase cytopenias and complicate chemotherapy delivery.

What this interaction means in plain words

Oxaliplatin and Zidovudine 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; Zidovudine belongs to Anti Virals.

Evidence level: Low

Why it happens

Additive myelosuppression (pharmacodynamic synergism).

What to do

Monitor complete blood counts before each chemotherapy cycle. Consider using a non-myelosuppressive antiretroviral during chemotherapy.

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 Zidovudine?

MediHelp rates the interaction as moderate. Oxaliplatin and Zidovudine 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 can cause neutropenia, thrombocytopenia and anemia, and zidovudine adds marrow toxicity. The combination may increase cytopenias and complicate chemotherapy delivery.

How serious is the interaction between Oxaliplatin and Zidovudine?

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 before each chemotherapy cycle. Consider using a non-myelosuppressive antiretroviral during chemotherapy.

What other medicines interact with Zidovudine?

MediHelp also lists interactions of Zidovudine with, for example, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Stavudine, Atidarsagene autotemcel. The full list is on the Zidovudine page.

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