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Can you take Fluorouracil with Quadramet?

1 drug interaction and 8 additional warnings found for the following 2 drugs:

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Drug interactions

Major drug interactions

Major:

fluorouracil samarium sm 153 lexidronam

Applies to: fluorouracil and Quadramet (samarium sm 153 lexidronam)

Using samarium sm 153 lexidronam together with fluorouracil may increase the risk of side effects that affect your bone marrow function, resulting in low numbers of different types of blood cells. You may be more likely to develop anemia, bleeding problems, or infections due to low blood cell counts. You should seek medical attention if you develop paleness, fatigue, dizziness, fainting, unusual bruising or bleeding, fever, chills, diarrhea, sore throat, muscle aches, shortness of breath, blood in phlegm, weight loss, red or inflamed skin, body sores, and pain or burning during urination. 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. 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

Major food/lifestyle interactions

Major:

fluorouracil multivitamins with minerals

Applies to: fluorouracil

Products containing folic acid may increase the effects of fluorouracil. You may be more likely to develop serious side effects such as anemia, bleeding problems, infections, and nerve damage when these medications are used together. Contact your doctor if you experience severe nausea and vomiting, diarrhea, paleness of skin, fatigue, dizziness, fainting, unusual bleeding or bruising, blood in the stools, fever, chills, body aches, flu-like symptoms, skin reactions, mouth ulcers or sores, and/or numbness, burning or tingling in your hands and feet. 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.

Disease interactions

7 potential interactions Applies to: 7 conditions, including Inflammatory Bowel Disease, Peptic Ulcer, Infection, Bleeding Disorder, and Cardiovascular Conditions and Disorders.

Bleeding Disorder

Moderate:

fluorouracil

Fluorouracil has a moderate potential interaction with Bleeding Disorder.

Fluorouracil (5- FU) induces myelosuppression, including thrombocytopenia. Therapy with 5- FU should be administered cautiously in patients with bleeding tendencies. Therapy with 5- FU should be promptly discontinued following bleeding from any sight. Patients should be instructed to immediately report any signs or symptoms suggesting bleeding such as petechiae, purpura, hematuria, or melena. Close clinical monitoring of hematopoietic function is recommended. Therapy with 5- FU should be withheld if platelet counts falls below 100,000/mm3.

Bone Marrow Depression/Low Blood Counts

Major:

fluorouracil

Fluorouracil has a major potential interaction with Bone Marrow Depression/Low Blood Counts.

5- FU can cause severe and fatal myelosuppression. Therapy with 5- FU should be administered cautiously in patients who have had prior high-dose pelvic irradiation or alkylating agents or who have widespread metastatic tumor involvement of the bone marrow. Patients should be instructed to immediately report any signs or symptoms suggesting bone marrow suppression such as fever, sore throat, local infection, or bleeding. Close clinical monitoring of hematopoietic function is recommended and therapy should be withheld if platelet counts falls below 100,000/mm3 and/or white blood cell (WBC) counts falls below 3500/mm3 or a rapid fall in WBC is noted.

Cardiovascular Conditions and Disorders

Moderate:

fluorouracil

Fluorouracil has a moderate potential interaction with Cardiovascular Conditions and Disorders.

Fluorouracil can cause cardiotoxicity, including angina, myocardial infarction, arrhythmia and heart failure based on post marketing reports. Reported risk factors for cardiotoxicity include administration by continuous infusion rather than intravenous bolus and presence of coronary artery disease. Caution and monitoring is advised in patients with coronary artery disease. Treatment should be discontinued for cardiotoxicity. The risks of treatment resumption after cardiotoxicity has been resolved have not been established.

Enzymopathy, Unspecified

Moderate:

fluorouracil

Fluorouracil has a moderate potential interaction with Enzymopathy, Unspecified.

Capecitabine is metabolized to fluorouracil. Capecitabine and fluorouracil are not recommended for use in patients known to have certain variants in the DPYD gene known to result in complete (or near complete) DPD deficiency; enzymatic deficiency results in increased systemic drug exposure. Consider testing for genetic variants of DPYD prior to initiating therapy. No dose of capecitabine or fluorouracil has been proven safe for patients with complete DPD deficiency and there are insufficient data to recommend a dose in patients with partial DPD deficiency. Withhold or permanently discontinue therapy (based on clinical judgement) in patients with evidence of acute early-onset or unusually severe adverse reactions, which may indicate complete DPD deficiency.

Infection

Major:

fluorouracil

Fluorouracil has a major potential interaction with Infection.

Fluorouracil (5-FU) should not be used in patients with potentially serious infectious diseases. 5-FU induces myelosuppression. All patients should be instructed to immediately report any signs or symptoms suggesting infection such as fever, sore throat, or local infection during therapy with 5-FU. Close clinical monitoring of hematopoietic function is recommended.

Inflammatory Bowel Disease

Major:

fluorouracil

Fluorouracil has a major potential interaction with Inflammatory Bowel Disease.

Fluorouracil (5-FU) induces stomatitis in the gastrointestinal tract. Therapy with 5-FU should be administered with extreme caution in patients with peptic ulcer disease and ulcerative colitis.

Peptic Ulcer

Major:

fluorouracil

Fluorouracil has a major potential interaction with Peptic Ulcer.

Fluorouracil (5-FU) induces stomatitis in the gastrointestinal tract. Therapy with 5-FU should be administered with extreme caution in patients with peptic ulcer disease and ulcerative colitis.

More resources

fluorouracil

A total of 302 drugs are known to interact with fluorouracil.

Quadramet

A total of 223 drugs are known to interact with Quadramet.

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.