Can you take Inavolisib with Rilonacept?
1 drug interaction and 9 additional warnings found for the following 2 drugs:
- inavolisib
- rilonacept
Drug interactions
Moderate drug interactions
Moderate:
rilonacept inavolisib
Applies to: rilonacept and inavolisib
Using rilonacept together with inavolisib may increase the risk of serious infections.
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 signs and symptoms of infection such as:
- fever
- chills
- diarrhea
- sore throat
- muscle aches
- shortness of breath
- blood in phlegm
- weight loss
- red or inflamed skin
- body sores
- pain or burning during 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: 7 conditions, including High Cholesterol, Diabetes Mellitus, Liver Disease, Infection, and Tuberculosis, Latent.
Diabetes Mellitus
Moderate:
inavolisib
Inavolisib has a moderate potential interaction with Diabetes Mellitus.
Treatment with inavolisib may cause severe hyperglycemia. The safety of inavolisib in patients with type 1 diabetes mellitus or type 2 diabetes mellitus requiring ongoing antihyperglycemic treatment have not been studied. Patients with a history of well-controlled type 2 diabetes mellitus may require intensified antihyperglycemic treatment and close monitoring of fasting glucose levels.
High Cholesterol
Moderate:
rilonacept
Rilonacept has a moderate potential interaction with High Cholesterol.
Patients treated with rilonacept experienced increases in their mean total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides. The mean increases from baseline for total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides were 19 mg/dL, 2 mg/dL, 10 mg/dL, and 57 mg/dL respectively after 6 weeks of open-label therapy. Physicians should monitor the lipid profiles of their patients especially those with hyperlipidemias, and consider lipid-lowering therapies as needed based upon cardiovascular risk factors and current guidelines.
Infection
Moderate:
rilonacept
Rilonacept has a moderate potential interaction with Infection.
Interleukin-1 (IL-1) blockade may interfere with the immune response to infections. Treatment with other medication as rilonacept, that work through inhibition of IL-1 has been associated with an increased risk of serious infections, and serious infections have been reported in patients taking rilonacept compared with placebo. Rilonacept should be discontinued if a patient develops a serious infection. Treatment with rilonacept should not be initiated in patients with an active or chronic infection. Additionally, latent tuberculosis can be reactivated and should be treated before initiating therapy with rilonacept.
Liver Disease
Moderate:
inavolisib
Inavolisib has a moderate potential interaction with Liver Disease.
Inavolisib has not been studied in patients with moderate to severe hepatic impairment.
Moderate:
rilonacept
Rilonacept has a moderate potential interaction with Liver Disease.
No formal studies have been conducted to examine the pharmacokinetics of rilonacept administered subcutaneously in patients with hepatic impairment. Caution is advised if used on these patients.
Renal Dysfunction
Moderate:
inavolisib
Inavolisib has a moderate potential interaction with Renal Dysfunction.
Use of inavolisib has not been evaluated in patients with severe renal impairment (estimated GFR less than 30 mL/min). Dose reduction is recommended in patients with moderate renal impairment (estimated GFR 30 to less than 60 mL/min) due to significantly increased exposure.
Moderate:
rilonacept
Rilonacept has a moderate potential interaction with Renal Dysfunction.
No formal studies have been conducted to examine the pharmacokinetics of rilonacept administered subcutaneously in patients with renal impairment. Caution is advised if used on these patients.
Tuberculosis, Latent
Moderate:
rilonacept
Rilonacept has a moderate potential interaction with Tuberculosis, Latent.
Interleukin-1 (IL-1) blockade may interfere with the immune response to infections. Treatment with other medication as rilonacept, that work through inhibition of IL-1 has been associated with an increased risk of serious infections, and serious infections have been reported in patients taking rilonacept compared with placebo. Rilonacept should be discontinued if a patient develops a serious infection. Treatment with rilonacept should not be initiated in patients with an active or chronic infection. Additionally, latent tuberculosis can be reactivated and should be treated before initiating therapy with rilonacept.
Vaccination
Major:
rilonacept
Rilonacept has a major potential interaction with Vaccination.
Live vaccines should not be given concurrently with rilonacept. Rilonacept may interfere with normal immune response to new antigens; therefore, vaccinations may not be effective in patients receiving rilonacept. No data are available on the effectiveness of vaccination with inactivated (killed) antigens in patients receiving rilonacept. Because IL-1 blockade may interfere with immune response to infections, it is recommended that prior to initiation of therapy with rilonacept adult and pediatric patients receive all recommended vaccinations, as appropriate, including pneumococcal vaccine and inactivated influenza vaccine.
More resources
inavolisib
A total of 230 drugs are known to interact with inavolisib.
- Inavolisib is in the drug class PI3K inhibitors.
- Inavolisib is used to treat Breast Cancer.
rilonacept
A total of 535 drugs are known to interact with rilonacept.
- Rilonacept is in the drug class interleukin inhibitors.
- Rilonacept 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.