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Drug interactions

Polatuzumab vedotin + Voriconazole

Severity: Moderate

Polatuzumab vedotin and Voriconazole: 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

Strong CYP3A4 inhibitors can increase unconjugated MMAE exposure from polatuzumab vedotin. This may increase toxicities such as neutropenia and peripheral neuropathy.

What this interaction means in plain words

Polatuzumab vedotin and Voriconazole 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.

Polatuzumab vedotin belongs to Oncology; Voriconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Voriconazole inhibits CYP3A4 metabolism of MMAE.

What to do

Monitor closely for neutropenia and neuropathy. Prefer a non-CYP3A-inhibiting antifungal when possible.

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 Polatuzumab vedotin with Voriconazole?

MediHelp rates the interaction as moderate. Polatuzumab vedotin and Voriconazole 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. Strong CYP3A4 inhibitors can increase unconjugated MMAE exposure from polatuzumab vedotin. This may increase toxicities such as neutropenia and peripheral neuropathy.

How serious is the interaction between Polatuzumab vedotin and Voriconazole?

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 closely for neutropenia and neuropathy. Prefer a non-CYP3A-inhibiting antifungal when possible.

What other medicines interact with Voriconazole?

MediHelp also lists interactions of Voriconazole with, for example, Avanafil, Butabarbital, Carbamazepine. The full list is on the Voriconazole page.

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