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Drug interactions

Teriflunomide + Treprostinil

Severity: Minor

Teriflunomide and Treprostinil: 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

Teriflunomide inhibits CYP2C8, which contributes to treprostinil metabolism, so treprostinil exposure could rise. This may increase vasodilatory effects such as hypotension, headache and flushing.

What this interaction means in plain words

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

Teriflunomide belongs to Central Nervous System; Treprostinil belongs to Cardiovascular.

Evidence level: Low

Why it happens

Weak inhibition of CYP2C8-mediated treprostinil metabolism by teriflunomide.

What to do

Monitor blood pressure and for vasodilatory adverse effects, and adjust the treprostinil dose to tolerability.

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 Teriflunomide with Treprostinil?

MediHelp rates the interaction as minor. Teriflunomide and Treprostinil have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Teriflunomide inhibits CYP2C8, which contributes to treprostinil metabolism, so treprostinil exposure could rise. This may increase vasodilatory effects such as hypotension, headache and flushing.

How serious is the interaction between Teriflunomide and Treprostinil?

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 blood pressure and for vasodilatory adverse effects, and adjust the treprostinil dose to tolerability.

What other medicines interact with Teriflunomide?

MediHelp also lists interactions of Teriflunomide with, for example, Ifosfamide, Lomustine, Amiodarone. The full list is on the Teriflunomide page.

Full monographs, dosing and an interaction checker in the MediHelp app

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