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Drug interactions

Palifermin + Temsirolimus

Severity: Moderate

Palifermin and Temsirolimus: 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

Palifermin given close to cytotoxic therapy may worsen the severity and duration of oral mucositis because it stimulates epithelial cell proliferation. Temsirolimus commonly causes stomatitis, but this interaction has not been shown specifically with temsirolimus.

What this interaction means in plain words

Palifermin and Temsirolimus 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.

Palifermin belongs to Miscellaneous; Temsirolimus belongs to Oncology.

Evidence level: Low

Why it happens

Palifermin-driven epithelial proliferation may increase sensitivity of mucosal cells to antiproliferative agents; specific mechanism with temsirolimus is not established.

What to do

Avoid giving palifermin within 24 hours before, during or after antineoplastic therapy per its labeling, and monitor for mucositis.

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 Palifermin with Temsirolimus?

MediHelp rates the interaction as moderate. Palifermin and Temsirolimus 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. Palifermin given close to cytotoxic therapy may worsen the severity and duration of oral mucositis because it stimulates epithelial cell proliferation. Temsirolimus commonly causes stomatitis, but this interaction has not been shown specifically with temsirolimus.

How serious is the interaction between Palifermin and Temsirolimus?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid giving palifermin within 24 hours before, during or after antineoplastic therapy per its labeling, and monitor for mucositis.

What other medicines interact with Temsirolimus?

MediHelp also lists interactions of Temsirolimus with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Temsirolimus page.

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