Does Enzalutamide Interact with Digoxin?
Enzalutamide and Digoxin have a moderate drug interaction according to U.S. FDA drug labeling data. XTANDI can interfere with certain digoxin immunoassays, resulting in falsely elevated digoxin plasma concentration results. Laboratory should use appropriate assay method. The mechanism involves immunoassay interference. 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
- Moderate
- Enzalutamide Class
- Androgen Receptor Inhibitor
- Digoxin Class
- Cardiac Glycoside
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Enzalutamide and Digoxin occurs because immunoassay interference. Clinically, this means xtandi can interfere with certain digoxin immunoassays, resulting in falsely elevated digoxin plasma concentration results. laboratory should use appropriate assay method. This is classified as a moderate interaction. While it may not require stopping either medication, your healthcare provider should be aware you are taking both so they can monitor for potential effects and adjust treatment if necessary.
What To Tell Your Doctor or Pharmacist
If you are taking Enzalutamide and your doctor is considering prescribing Digoxin (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 whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider