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Drug interactions

Paclitaxel + Pretomanid

Severity: Minor

Paclitaxel and Pretomanid: minor 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

Pretomanid may inhibit OATP1B3, a transporter involved in hepatic uptake of paclitaxel. Exposure may be altered, but clinical data are lacking.

What this interaction means in plain words

Paclitaxel and Pretomanid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Paclitaxel belongs to Oncology; Pretomanid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Possible OATP1B3 inhibition by pretomanid reduces hepatic uptake of paclitaxel.

What to do

Monitor for paclitaxel adverse effects such as neutropenia and neuropathy if coadministered.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Paclitaxel with Pretomanid?

MediHelp rates the interaction as minor. Paclitaxel and Pretomanid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Pretomanid may inhibit OATP1B3, a transporter involved in hepatic uptake of paclitaxel. Exposure may be altered, but clinical data are lacking.

How serious is the interaction between Paclitaxel and Pretomanid?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for paclitaxel adverse effects such as neutropenia and neuropathy if coadministered.

What other medicines interact with Paclitaxel?

MediHelp also lists interactions of Paclitaxel with, for example, Adenovirus types 4 and 7 live, Cobicistat, Cyclosporine. The full list is on the Paclitaxel 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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