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Dilantin-30 and Imatinib Mesylate

Determining the interaction of Dilantin-30 and Imatinib Mesylate and the possibility of their joint administration.

Check result:
Dilantin-30 <> Imatinib Mesylate
Relevance: 10.07.2022 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:

Talk to your doctor before using imatinib together with phenytoin. Combining these medications can alter the blood levels and effects of both. Specifically, imatinib levels may decrease, which may make the medication less effective. At the same time, phenytoin levels may increase. Contact your doctor if your condition changes or you experience increased side effects. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. 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: Theoretically, the coadministration of imatinib and phenytoin may result in decreased plasma concentrations of imatinib and increased plasma concentrations of phenytoin. Imatinib is a substrate of the CYP450 3A4 enzymatic pathway as well as a potent competitive inhibitor of the CYP450 2C9 pathway, while phenytoin is an inducer of CYP450 3A4 and a substrate of CYP450 2C9. Consequently, clearance of imatinib may be enhanced while that of phenytoin may be impaired.

MANAGEMENT: Concomitant use should be avoided, if clinically feasible. If coadministration cannot be avoided, it is recommended to increase the dosage of imatinib by at least 50% and monitor the patient's clinical response. In addition, clinical and laboratory monitoring for potentially increased pharmacologic effects of phenytoin, including toxicities, is recommended.

References
  • Bolton AE, Peng B, Hubert M, et al. "Effect of rifampicin on the pharmacokinetics of imatinib mesylate (Gleevec, STI571) in healthy subjects." Cancer Chemother Pharmacol 53 (2004): 102-6
  • Canadian Pharmacists Association "e-CPS. Available from: URL: http://www.pharmacists.ca/function/Subscriptions/ecps.cfm?link=eCPS_quikLink."
  • Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
  • EMEA. European Medicines Agency "EPARs. European Union Public Assessment Reports. Available from: URL: http://www.ema.europa.eu/ema/index.jsp?curl=pages/includes/medicines/medicines_landingpage.jsp&mid."
  • "Product Information. Gleevec (imatinib mesylate)." Novartis Pharmaceuticals, East Hanover, NJ.
  • Cerner Multum, Inc. "Australian Product Information." O 0
Dilantin-30

Generic Name: phenytoin

Brand name: Dilantin, Phenytek, Dilantin Infatabs, Phenytoin Sodium, Prompt

Synonyms: Dilantin

Imatinib Mesylate

Generic Name: imatinib

Brand name: Gleevec

Synonyms: Imatinib

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.

Interaction with food and lifestyle
Disease interaction