Does Aldesleukin Interact with Cyp Substrates?
Aldesleukin and Cyp Substrates have a major drug interaction according to U.S. FDA drug labeling data. Aldesleukin causes release of cytokines that may suppress CYP enzyme activity, resulting in increased exposure of CYP substrates and potential serious adverse reactions. The mechanism involves suppression of cytochrome p-450 enzyme activity via cytokine release. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Major
- Aldesleukin Class
- Lymphocyte Growth Factor
- Management
- Close medical supervision required
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Aldesleukin and Cyp Substrates occurs because suppression of cytochrome p-450 enzyme activity via cytokine release. Clinically, this means aldesleukin causes release of cytokines that may suppress cyp enzyme activity, resulting in increased exposure of cyp substrates and potential serious adverse reactions. This is classified as a major interaction, meaning it could cause serious harm if not properly managed. Your healthcare provider may need to adjust dosages, substitute one medication, or increase monitoring frequency.
What To Tell Your Doctor or Pharmacist
If you are taking Aldesleukin and your doctor is considering prescribing Cyp Substrates (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask how frequently you should be monitored while these are co-prescribed
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider