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Drug interactions

Tocilizumab + Ublituximab

Severity: Major

Tocilizumab and Ublituximab: 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

Both drugs suppress immune function, so using them together may raise the risk of serious infections. Ublituximab depletes B cells for a prolonged period, which adds to the effect of tocilizumab.

What this interaction means in plain words

Tocilizumab and Ublituximab 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.

Tocilizumab belongs to Musculoskeletal; Ublituximab belongs to Miscellaneous.

Evidence level: Low

Why it happens

Additive immunosuppression from anti-CD20 B-cell depletion and interleukin-6 receptor blockade.

What to do

Avoid combining if an alternative exists. If used together, monitor closely for infection and review immunoglobulin levels and the timing of each drug.

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?

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 Tocilizumab with Ublituximab?

MediHelp rates the interaction as major. Tocilizumab and Ublituximab 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. Both drugs suppress immune function, so using them together may raise the risk of serious infections. Ublituximab depletes B cells for a prolonged period, which adds to the effect of tocilizumab.

How serious is the interaction between Tocilizumab and Ublituximab?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining if an alternative exists. If used together, monitor closely for infection and review immunoglobulin levels and the timing of each drug.

What other medicines interact with Tocilizumab?

MediHelp also lists interactions of Tocilizumab with, for example, Bcg vaccine live, Measles mumps and rubella vaccine live, Measles mumps rubella and varicella vaccine live. The full list is on the Tocilizumab 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.

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