Drug interactions
Tisotumab vedotin + Voriconazole
Severity: Moderate
Tisotumab 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
Voriconazole may increase exposure to unconjugated MMAE, the cytotoxic payload released from tisotumab vedotin. This could heighten toxicities such as neutropenia, neuropathy and ocular or hepatic effects.
What this interaction means in plain words
Tisotumab 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.
Tisotumab vedotin belongs to Oncology; Voriconazole belongs to Anti Fungals.
Why it happens
Voriconazole inhibits CYP3A4, which metabolizes MMAE.
What to do
Monitor for adverse reactions such as neuropathy and neutropenia, and consider an alternative to a strong CYP3A4 inhibitor if feasible. Interrupt or reduce tisotumab vedotin if toxicity occurs.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Tisotumab vedotin and Voriconazole, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Voriconazole
- Avanafil + Voriconazole Contraindicated
- Butabarbital + Voriconazole Contraindicated
- Carbamazepine + Voriconazole Contraindicated
- Conivaptan + Voriconazole Contraindicated
- Dihydroergotamine intranasal + Voriconazole Contraindicated
- Dihydroergotamine + Voriconazole Contraindicated
Other interactions of Tisotumab vedotin
- Chloramphenicol + Tisotumab vedotin Moderate
- Clarithromycin + Tisotumab vedotin Moderate
- Itraconazole + Tisotumab vedotin Moderate
- Ketoconazole + Tisotumab vedotin Moderate
- Mifepristone + Tisotumab vedotin Moderate
- Posaconazole + Tisotumab vedotin Moderate
Frequently asked questions
Can I take Tisotumab vedotin with Voriconazole?
MediHelp rates the interaction as moderate. Tisotumab 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. Voriconazole may increase exposure to unconjugated MMAE, the cytotoxic payload released from tisotumab vedotin. This could heighten toxicities such as neutropenia, neuropathy and ocular or hepatic effects.
How serious is the interaction between Tisotumab 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 for adverse reactions such as neuropathy and neutropenia, and consider an alternative to a strong CYP3A4 inhibitor if feasible. Interrupt or reduce tisotumab vedotin if toxicity occurs.
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.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
