Can you take Retifanlimab with Tildrakizumab?
1 drug interaction and 9 additional warnings found for the following 2 drugs:
- retifanlimab
- tildrakizumab
Drug interactions
Moderate drug interactions
Moderate:
tildrakizumab retifanlimab
Applies to: tildrakizumab and retifanlimab
Using tildrakizumab may decrease the effects of retifanlimab, which may make the medication less effective in treating your condition. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact or may choose to postpone treatment with retifanlimab. 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 Autoimmune Disorders, Liver Disease, Infection, Tuberculosis, Active, and Tuberculosis, Latent.
Autoimmune Disorders
Moderate:
retifanlimab
Retifanlimab has a moderate potential interaction with Autoimmune Disorders.
Programmed death receptor-1/ligand-1 (PD-1/PD-L1) blocking antibodies can cause immune-mediated adverse reactions, which may be severe or fatal. Immune-mediated adverse reactions can occur in any organ system or tissue at any time after starting therapy. This may be considered when using PD-1/PD-L1 blocking antibodies in patients with immune system disorders (e.g., ulcerative colitis, Crohn's disease, lupus) or with conditions affecting the nervous system (e.g., myasthenia gravis, Guillain-Barre syndrome). It is recommended to monitor patients closely for signs/symptoms that may be clinical manifestations of underlying immune-mediated adverse reactions.
Bone Marrow Transplantation
Moderate:
retifanlimab
Retifanlimab has a moderate potential interaction with Bone Marrow Transplantation.
Fatal and other serious complications can occur in patients who receive allogeneic hematopoietic stem cell transplantation (HSCT) before or after being treated with a programmed death receptor-1/ligand-1 (PD-1/PD-L1) blocking antibody. Transplant-related complications include hyperacute graft-versus-host disease (GVHD), acute GVHD, chronic GVHD, hepatic veno-occlusive disease after reduced intensity conditioning, and steroid-requiring febrile syndrome (without an identified infectious cause). These complications may occur despite intervening therapy between PD-1/PD-L1 blockade and allogeneic HSCT. It is recommended to follow patients closely for evidence of transplant-related complications and intervene promptly. The benefit versus risks of treatment with a PD-1/PD-L1 blocking antibody before or after an allogeneic HSCT should be considered.
History, Tuberculosis
Major:
tildrakizumab
Tildrakizumab has a major potential interaction with History, Tuberculosis.
Do not administer tildrakizumab to patients with active TB infection. It is recommended to assess patients for tuberculosis (TB) infection before starting treatment with this agent. Consider anti-TB therapy prior to initiation of tildrakizumab in patients with latent TB, a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Monitor patients for signs and symptoms of active TB during and after treatment with tildrakizumab.
Infection
Moderate:
tildrakizumab
Tildrakizumab has a moderate potential interaction with Infection.
The use of tildrakizumab may increase the risk of infection. Treatment with tildrakizumab should not be started in patients with active infection until the infection resolves or is adequately treated. Consider the risks and benefits prior to using this agent in patients with chronic infection or a history of recurrent infection. It is recommended to monitor the patient closely and consider discontinuation of tildrakizumab if a patient develops a clinically important or serious infection or is not responding to standard therapy.
Liver Disease
Moderate:
retifanlimab
Retifanlimab has a moderate potential interaction with Liver Disease.
No dose adjustment of retifanlimab is recommended for patients with mild hepatic impairment. No clinical studies were conducted with retifanlimab in patients with moderate to severe hepatic impairment. Retifanlimab can cause immune-mediated hepatitis. Monitor liver enzymes at baseline and periodically during treatment. Use caution in patients with hepatic impairment.
Organ Transplant
Moderate:
retifanlimab
Retifanlimab has a moderate potential interaction with Organ Transplant.
Solid organ transplant rejection and other transplant (including corneal graft) rejection have been reported with the use of programmed death receptor-1/ligand-1 (PD-1/PD-L1) blocking antibodies. This may be considered when using PD-1/PD-L1 blocking antibodies in patients who have received a solid organ or other transplant.
Tuberculosis, Active
Major:
tildrakizumab
Tildrakizumab has a major potential interaction with Tuberculosis, Active.
Do not administer tildrakizumab to patients with active TB infection. It is recommended to assess patients for tuberculosis (TB) infection before starting treatment with this agent. Consider anti-TB therapy prior to initiation of tildrakizumab in patients with latent TB, a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Monitor patients for signs and symptoms of active TB during and after treatment with tildrakizumab.
Tuberculosis, Latent
Major:
tildrakizumab
Tildrakizumab has a major potential interaction with Tuberculosis, Latent.
Do not administer tildrakizumab to patients with active TB infection. It is recommended to assess patients for tuberculosis (TB) infection before starting treatment with this agent. Consider anti-TB therapy prior to initiation of tildrakizumab in patients with latent TB, a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Monitor patients for signs and symptoms of active TB during and after treatment with tildrakizumab.
Vaccination
Moderate:
tildrakizumab
Tildrakizumab has a moderate potential interaction with Vaccination.
It is recommended to avoid the use of live vaccines in patients treated with tildrakizumab. Before starting therapy with tildrakizumab, consider completion of all age appropriate immunizations according to current immunization guidelines. Care should be exercised as no data are available on the response to live or inactive vaccines.
More resources
retifanlimab
A total of 614 drugs are known to interact with retifanlimab.
- Retifanlimab is in the drug class Immune checkpoint inhibitors (PD-1 and PD-L1 inhibitors).
- Retifanlimab is used to treat the following conditions:
tildrakizumab
A total of 205 drugs are known to interact with tildrakizumab.
- Tildrakizumab is in the drug class interleukin inhibitors.
- Tildrakizumab 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.