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Busulfan Tablet and Deferasirox

Determining the interaction of Busulfan Tablet and Deferasirox and the possibility of their joint administration.

Check result:
Busulfan Tablet <> Deferasirox
Relevance: 06.09.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using deferasirox together with busulfan may increase the blood levels and effects of busulfan. Treatment with deferasirox may need to be stopped several days before beginning treatment with busulfan. If your doctor does prescribe these medications together, you may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your condition changes or you experience increased side effects. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

GENERALLY AVOID: Coadministration with iron chelating agents, such as deferasirox, may result in an increase in the plasma concentrations and the risk of toxicity of busulfan. A reduction in the clearance of busulfan is suspected via an undetermined mechanism.

MANAGEMENT: Discontinuation of iron chelating agents prior to initiating treatment with busulfan is recommended. Deferasirox should be discontinued approximately 5 half-lives (2 to 3 days) before initiating busulfan. If concomitant therapy is unavoidable, a dosage reduction as well as clinical and laboratory monitoring of busulfan should be considered.

References
  • Sweiss K, Patel P, Rondelli D "Deferasirox increases BU blood concentrations." Bone Marrow Transplant (2011):
  • Cerner Multum, Inc. "Australian Product Information." O 0
  • "Product Information. Busulfex (busulfan)." ESP Pharma Inc, Edison, NJ.
Busulfan Tablet

Generic Name: busulfan

Brand name: Busulfex, Myleran

Synonyms: Busulfan (oral/injection), Busulfan

Deferasirox

Generic Name: deferasirox

Brand name: Exjade, Jadenu, Jadenu Sprinkle

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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