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Drug Interactions between BiCNU and cimetidine

This report displays the potential drug interactions for the following 2 drugs:

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Interactions between your drugs

Major

cimetidine carmustine

Applies to: cimetidine and BiCNU (carmustine)

Talk to your doctor before using carmustine together with cimetidine. Combining these medications may increase the suppressive effects of carmustine on your bone marrow function, resulting in low numbers of different types of blood cells (*). This can make you more likely to develop anemia, bleeding problems, or infections. Contact your doctor if you experience potential signs and symptoms of these conditions such as paleness, fatigue, dizziness, fainting, unusual bleeding or bruising, fever, chills, sore throat, body aches, or other flu-like symptoms. 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.

*It is not known whether this interaction can occur if you are receiving carmustine in the form of a surgical implant (brand name Gliadel), since the effects from an implant are more localized. The interaction has only been studied in patients receiving the injectable formulation of carmustine (brand name BiCNU).

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Drug and food interactions

Minor

cimetidine food

Applies to: cimetidine

Information for this minor interaction is available on the professional version.

Minor

cimetidine food

Applies to: cimetidine

Information for this minor interaction is available on the professional version.

Minor

cimetidine food

Applies to: cimetidine

Information for this minor interaction is available on the professional version.

Therapeutic duplication warnings

No warnings were found for your selected drugs.

Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.


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Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.