Drug interactions
Probenecid + Roxadustat
Severity: Major
Probenecid and Roxadustat: major 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
Probenecid markedly increases roxadustat exposure. This may lead to an excessive rise in haemoglobin and a higher risk of roxadustat-related adverse effects.
What this interaction means in plain words
Probenecid and Roxadustat can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Probenecid belongs to Genitourinary; Roxadustat belongs to Miscellaneous.
Why it happens
Probenecid inhibits UGT1A9 glucuronidation and renal/hepatic transporters involved in roxadustat elimination.
What to do
Monitor haemoglobin frequently and reduce the roxadustat dose according to response. Avoid the combination where an alternative exists.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Roxadustat
- Gemfibrozil + Roxadustat Major
- Atorvastatin + Roxadustat Moderate
- Calcium acetate + Roxadustat Moderate
- Calcium + Roxadustat Moderate
- Iron + Roxadustat Moderate
- Magnesium + Roxadustat Moderate
Other interactions of Probenecid
- Ketorolac intranasal + Probenecid Contraindicated
- Ketorolac + Probenecid Contraindicated
- Baricitinib + Probenecid Major
- Ceftazidime / avibactam + Probenecid Major
- Methotrexate + Probenecid Major
- Pralatrexate + Probenecid Major
Frequently asked questions
Can I take Probenecid with Roxadustat?
MediHelp rates the interaction as major. Probenecid and Roxadustat can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Probenecid markedly increases roxadustat exposure. This may lead to an excessive rise in haemoglobin and a higher risk of roxadustat-related adverse effects.
How serious is the interaction between Probenecid and Roxadustat?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor haemoglobin frequently and reduce the roxadustat dose according to response. Avoid the combination where an alternative exists.
What other medicines interact with Roxadustat?
MediHelp also lists interactions of Roxadustat with, for example, Gemfibrozil, Atorvastatin, Calcium acetate. The full list is on the Roxadustat page.
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