Can you take Dupilumab with Xbryk?
1 drug interaction and 9 additional warnings found for the following 2 drugs:
- dupilumab
- Xbryk (denosumab)
Drug interactions
Moderate drug interactions
Moderate:
denosumab dupilumab
Applies to: Xbryk (denosumab) and dupilumab
Using denosumab together with dupilumab can increase the risk of serious infections involving the skin, lower stomach area (abdomen), bladder, ear, or inner lining of the heart. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. Contact your doctor immediately if you develop fever or chills; red, swollen skin or skin that is hot or tender to the touch; itching or rash; blisters; severe abdominal pain; or frequent, urgent, or painful/burning urination. 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.
Food/lifestyle interactions
No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Disease interactions
9 potential interactions Applies to: 9 conditions, including Rheumatoid Arthritis, Hypocalcemia, Hypoparathyroidism, Thyroid Disease, and Infection.
Hypocalcemia
Major:
Xbryk
The denosumab in Xbryk has a major potential interaction with Hypocalcemia.
Preexisting hypocalcemia must be corrected prior to initiating treatment with denosumab. Caution should be exercised in patients predisposed to hypocalcemia and any disturbances of mineral metabolism, such as history of hypoparathyroidism, thyroid or parathyroid surgery, malabsorption syndromes, excision of small intestine, severe renal impairment or dialysis. Clinical monitoring of calcium and mineral levels (phosphorus and magnesium) are highly recommended within 14 days of denosumab injection. It is important to maintain calcium levels with adequate calcium and vitamin D supplementation.
Hypoparathyroidism
Major:
Xbryk
The denosumab in Xbryk has a major potential interaction with Hypoparathyroidism.
Preexisting hypocalcemia must be corrected prior to initiating treatment with denosumab. Caution should be exercised in patients predisposed to hypocalcemia and any disturbances of mineral metabolism, such as history of hypoparathyroidism, thyroid or parathyroid surgery, malabsorption syndromes, excision of small intestine, severe renal impairment or dialysis. Clinical monitoring of calcium and mineral levels (phosphorus and magnesium) are highly recommended within 14 days of denosumab injection. It is important to maintain calcium levels with adequate calcium and vitamin D supplementation.
Immunodeficiency
Moderate:
Xbryk
The denosumab in Xbryk has a moderate potential interaction with Immunodeficiency.
Denosumab should be used with caution in patients with impaired immune systems or taking concomitant immunosuppressant agents as they may be at increased risk for serious infections.
Infection
Moderate:
dupilumab
Dupilumab has a moderate potential interaction with Infection.
It is unknown if dupilumab will affect the immune response against helminth infections. Patients with preexisting helminth infections should be treated prior to therapy with dupilumab. If patients become infected while receiving dupilumab and do not respond to anthelminthic treatment, dupilumab should be discontinued until the infection resolves.
Psoriatic Arthropathy
Moderate:
dupilumab
Dupilumab has a moderate potential interaction with Psoriatic Arthropathy.
Arthralgia has been reported with the use of dupilumab. Patients should be advised to report new onset or worsening joint symptoms to their health care provider.
Renal Dysfunction
Major:
Xbryk
The denosumab in Xbryk has a major potential interaction with Renal Dysfunction.
Preexisting hypocalcemia must be corrected prior to initiating treatment with denosumab. Caution should be exercised in patients predisposed to hypocalcemia and any disturbances of mineral metabolism, such as history of hypoparathyroidism, thyroid or parathyroid surgery, malabsorption syndromes, excision of small intestine, severe renal impairment or dialysis. Clinical monitoring of calcium and mineral levels (phosphorus and magnesium) are highly recommended within 14 days of denosumab injection. It is important to maintain calcium levels with adequate calcium and vitamin D supplementation.
Rheumatoid Arthritis
Moderate:
dupilumab
Dupilumab has a moderate potential interaction with Rheumatoid Arthritis.
Arthralgia has been reported with the use of dupilumab. Patients should be advised to report new onset or worsening joint symptoms to their health care provider.
Thyroid Disease
Major:
Xbryk
The denosumab in Xbryk has a major potential interaction with Thyroid Disease.
Preexisting hypocalcemia must be corrected prior to initiating treatment with denosumab. Caution should be exercised in patients predisposed to hypocalcemia and any disturbances of mineral metabolism, such as history of hypoparathyroidism, thyroid or parathyroid surgery, malabsorption syndromes, excision of small intestine, severe renal impairment or dialysis. Clinical monitoring of calcium and mineral levels (phosphorus and magnesium) are highly recommended within 14 days of denosumab injection. It is important to maintain calcium levels with adequate calcium and vitamin D supplementation.
Visual Defect/Disturbance
Moderate:
dupilumab
Dupilumab has a moderate potential interaction with Visual Defect/Disturbance.
Conjunctivitis and keratitis adverse reactions have been reported with dupilumab. Care should be exercised when using this agent in patients with visual defects. Patients or their caregivers should be advised to report new onset or worsening eye symptoms to their health care provider.
More resources
dupilumab
A total of 103 drugs are known to interact with dupilumab.
- Dupilumab is in the drug class interleukin inhibitors.
- Dupilumab is used to treat the following conditions:
Xbryk
A total of 324 drugs are known to interact with Xbryk.
- Xbryk is in the drug class miscellaneous bone resorption inhibitors.
- Xbryk is used to treat the following conditions:
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| 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. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.