Anakinra has 51 known drug interactions based on U.S. FDA drug labeling data. Of these, 3 are contraindicated combinations that should be avoided entirely. 37 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Infliximab, Infliximab-Axxq, Infliximab-Dyyb. Patients taking Anakinra should inform their healthcare provider of all current medications — including over-the-counter drugs and supplements — to avoid potentially harmful combinations. Data sourced from OpenFDA and the NIH National Library of Medicine.
- Total
- 51
- Contraindicated
- 3
- Major
- 37
- Moderate
- 10
Contraindicated (3)
- Anakinra + Infliximab— Combination with TNF blockers including infliximab is not recommended due to increased risk of serious infections with n…
- Anakinra + Infliximab-Axxq— Combination with TNF blockers increased risk of serious infections with no added clinical benefit. Not recommended due t…
- Anakinra + Infliximab-Dyyb— Combination with anakinra is not recommended due to increased risk of serious infections with no added clinical benefit …
Major (37)
- Anakinra + Adalimumab— Increased risk of serious infection when combined with TNF blockers; not recommended in RA patients.
- Anakinra + Adalimumab-Aacf— Increased risk of serious infection when combined with ADALIMUMAB-AACF. Concomitant use is not recommended in patients w…
- Anakinra + Adalimumab-Aaty— Increased risk of serious infection with no added benefit. Concomitant use not recommended in patients with RA.
- Anakinra + Adalimumab-Adaz— Increased risk of serious infection when combined with adalimumab-adaz. Use not recommended in patients with RA due to n…
- Anakinra + Adalimumab-Adbm— Increased risk of serious infection when combined with adalimumab-adbm. Concomitant use not recommended in patients with…
- Anakinra + Adalimumab-Afzb— Increased risk of serious infection when combined with TNF blockers. Use not recommended in patients with RA due to no a…
- Anakinra + Adalimumab-Aqvh— Increased risk of serious infection when combined with YUSIMRY; concomitant use not recommended in RA patients.
- Anakinra + Adalimumab-Atto— Increased risk of serious infection when combined with AMJEVITA. Concomitant use not recommended in RA patients.
- Anakinra + Adalimumab-Bwwd— Increased risk of serious infection when combined with HADLIMA; not recommended for RA patients.
- Anakinra + Adalimumab-Fkjp— Increased risk of serious infection when combined with adalimumab-fkjp; combination not recommended in RA patients.
- Anakinra + Adalimumab-Ryvk— Increased risk of serious infection when combined with adalimumab-ryvk. Not recommended in patients with RA.
- Anakinra + Adrenergic Blockers— Use of KINERET in combination with TNF blocking agents is not recommended due to increased serious infections.
- Anakinra + Avutometinib Potassium And Defactinib Hydrochloride— Concomitant use decreases defactinib exposure, which may reduce the effectiveness of the drug combination. Avoid concomi…
- Anakinra + Candesartan— Triple combination with ACE inhibitor and mineralocorticoid receptor antagonist is generally not recommended. Monitor bl…
- Anakinra + Candesartan Cilexetil— Triple combination with candesartan cilexetil and an ACE-inhibitor is generally not recommended due to increased risks o…
- Anakinra + Certolizumab Pegol— Increased risk of serious infections when used in combination with TNF-blocking agents. Combination therapy not recommen…
- Anakinra + Dasatinib— Coadministration may decrease dasatinib concentrations and reduce efficacy. Do not administer with dasatinib.
- Anakinra + Emtricitabine, Rilpivirine And Tenofovir Disoproxil Fumarate— Coadministration with rilpivirine requires staggered administration due to increased gastric pH potentially decreasing r…
- Anakinra + Emtricitabine, Rilpivirine Hydrochloride, And Tenofovir Alafenamide— Use of RPV with H2-receptor antagonists requires staggered administration to avoid decreased plasma concentrations of RP…
- Anakinra + Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate— Use of RPV with H2-receptor antagonists requires staggered administration to avoid decreased plasma concentrations of RP…
- Anakinra + Etanercept— Concurrent use resulted in 7% rate of serious infections (vs 0% with Enbrel alone), including bacterial pneumonia and ce…
- Anakinra + Golimumab— Increased risk of serious infection when used concomitantly with golimumab. Combination not recommended.
- Anakinra + Hydrocodone Bitartrate And Acetaminophen— Concomitant use has resulted in serotonin syndrome; carefully observe patient during treatment initiation and dose adjus…
- Anakinra + Hydromorphone Hydrochloride— Concomitant use may result in serotonin syndrome. Frequently evaluate patient during treatment initiation and dose adjus…
- Anakinra + Levorphanol Tartrate— Concomitant use has resulted in serotonin syndrome.
- Anakinra + Metaxalone— Concomitant use may result in serotonin syndrome. Carefully observe patient during treatment initiation and dosage modif…
- Anakinra + Morphine Sulfate— Concomitant use with opioids has resulted in serotonin syndrome.
- Anakinra + Nalbuphine Hydrochloride— Concomitant use may result in serotonin syndrome. Carefully observe patient during treatment initiation and dose adjustm…
- Anakinra + Neratinib— Concomitant use may decrease neratinib AUC, reducing NERLYNX activity. Separate administration by at least 2 hours befor…
- Anakinra + Nirogacestat— Gastric acid reducing agent. Decreases nirogacestat exposure, which may reduce effectiveness of nirogacestat.
- Anakinra + Oxymorphone Hydrochloride— Concomitant use may result in serotonin syndrome.
- Anakinra + Pentazocine Hydrochloride And Naloxone Hydrochloride— Concomitant use has resulted in serotonin syndrome. Carefully observe patient during treatment initiation and dose adjus…
- Anakinra + Phenylephrine Hydrochloride— Antagonistic effects with decreased phenylephrine blood pressure effect.
- Anakinra + Remifentanil Hydrochloride— Concomitant use may result in serotonin syndrome.
- Anakinra + Taletrectinib— Concomitant use may reduce the effectiveness of taletrectinib by decreasing exposure.
- Anakinra + Tapentadol Hydrochloride— Concomitant use may result in serotonin syndrome. Frequent patient evaluation is recommended during treatment initiation…
- Anakinra + Ziftomenib— Avoid concomitant use. If unavoidable, modify KOMZIFTI administration time to separate dosing.
Moderate (10)
- Anakinra + Atazanavir— Reduce atazanavir plasma concentrations by increasing gastric pH, potentially reducing REYATAZ's therapeutic effect.
- Anakinra + Butorphanol Tartrate— Concomitant use may result in serotonin syndrome; monitor regularly during initiation and dose adjustment.
- Anakinra + Dacomitinib— Concomitant use may decrease dacomitinib concentrations. Administer VIZIMPRO at least 6 hours before or 10 hours after H…
- Anakinra + Glimepiride— May increase glucose-lowering effect of glimepiride, increasing susceptibility to hypoglycemia.
- Anakinra + Glipizide— May increase the glucose-lowering effect of glipizide, increasing susceptibility to hypoglycemia. Monitor closely.
- Anakinra + Human Secretin— Concomitant use may cause hyperresponse in gastrin secretion, falsely suggesting gastrinoma. Discontinue at least 2 days…
- Anakinra + Itraconazole— Reduce gastric acidity and impair itraconazole capsule absorption. Use with caution and monitor antifungal activity.
- Anakinra + Ketoconazole— Reduce gastric acidity and impair ketoconazole absorption from tablets. Ketoconazole should be taken with acidic beverag…
- Anakinra + Pazopanib— Avoid concomitant use with pazopanib. Consider short-acting antacids instead.
- Anakinra + Selpercatinib— Concomitant use decreases selpercatinib plasma concentrations, which may reduce anti-tumor activity. Avoid coadministrat…