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Drug interactions

Trastuzumab + Vinblastine

Severity: Moderate

Trastuzumab and Vinblastine: 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

Trastuzumab given with myelosuppressive chemotherapy has been associated with a higher incidence of neutropenia and febrile neutropenia. Combined use with vinblastine may raise infection risk.

What this interaction means in plain words

Trastuzumab and Vinblastine 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.

Trastuzumab belongs to Oncology; Vinblastine belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive hematologic toxicity when trastuzumab is combined with cytotoxic chemotherapy; no pharmacokinetic interaction is established.

What to do

Monitor blood counts and for signs of infection, and use supportive care or dose delays according to protocol.

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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Frequently asked questions

Can I take Trastuzumab with Vinblastine?

MediHelp rates the interaction as moderate. Trastuzumab and Vinblastine 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. Trastuzumab given with myelosuppressive chemotherapy has been associated with a higher incidence of neutropenia and febrile neutropenia. Combined use with vinblastine may raise infection risk.

How serious is the interaction between Trastuzumab and Vinblastine?

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 blood counts and for signs of infection, and use supportive care or dose delays according to protocol.

What other medicines interact with Vinblastine?

MediHelp also lists interactions of Vinblastine with, for example, Adenovirus types 4 and 7 live, Apalutamide, Atazanavir. The full list is on the Vinblastine 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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