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Interactions médicamenteuses

Baricitinib + Tofacitinib

Gravité: Contre-indiquée

Baricitinib and Tofacitinib: contraindicated interaction.

Dernière mise à jour

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Résumé

Two JAK inhibitors given together provide duplicate immunosuppression with no established added benefit. The risk of serious infection and other JAK-related adverse effects increases.

Ce que signifie cette interaction, en termes simples

Baricitinib and Tofacitinib are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Baricitinib belongs to Musculoskeletal; Tofacitinib belongs to Musculoskeletal.

Niveau de preuve: Moderate

Pourquoi elle survient

Duplicate JAK inhibition causing additive immunosuppression.

Conduite à tenir

Do not use two JAK inhibitors together; select a single agent. If switching, stop one before starting the other.

Questions à poser à votre pharmacien

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Baricitinib with Tofacitinib?

MediHelp rates the interaction as contraindicated. Baricitinib and Tofacitinib are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Two JAK inhibitors given together provide duplicate immunosuppression with no established added benefit. The risk of serious infection and other JAK-related adverse effects increases.

How serious is the interaction between Baricitinib and Tofacitinib?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use two JAK inhibitors together; select a single agent. If switching, stop one before starting the other.

What other medicines interact with Tofacitinib?

MediHelp also lists interactions of Tofacitinib with, for example, Cladribine, Upadacitinib, Abatacept. The full list is on the Tofacitinib page.

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