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Drug interactions

Prednisone + Tesamorelin

Severity: Moderate

Prednisone and Tesamorelin: moderate interaction.

Last updated Sources: US FDA label

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

Tesamorelin increases growth hormone and IGF-1, which may inhibit 11-beta-hydroxysteroid dehydrogenase type 1. This can reduce conversion of cortisone and prednisone to active forms, decreasing glucocorticoid effect.

What this interaction means in plain words

Prednisone and Tesamorelin 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.

Evidence level: Low

Why it happens

Growth hormone axis activation inhibits 11β-HSD1, reducing activation of prednisone to prednisolone.

What to do

Monitor for reduced steroid effect and signs of adrenal insufficiency in patients on replacement. Increase the prednisone dose if needed.

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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References

Frequently asked questions

Can I take Prednisone with Tesamorelin?

MediHelp rates the interaction as moderate. Prednisone and Tesamorelin 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. Tesamorelin increases growth hormone and IGF-1, which may inhibit 11-beta-hydroxysteroid dehydrogenase type 1. This can reduce conversion of cortisone and prednisone to active forms, decreasing glucocorticoid effect.

How serious is the interaction between Prednisone and Tesamorelin?

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 for reduced steroid effect and signs of adrenal insufficiency in patients on replacement. Increase the prednisone dose if needed.

What other medicines interact with Prednisone?

MediHelp also lists interactions of Prednisone with, for example, Bcg vaccine live, Measles vaccine, Mifepristone. The full list is on the Prednisone page.

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