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Can you take Somapacitan with Vancenase AQ?

1 drug interaction and 23 additional warnings found for the following 2 drugs:

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Drug interactions

Moderate drug interactions

Moderate:

beclomethasone nasal somapacitan

Applies to: Vancenase AQ (beclomethasone nasal) and somapacitan

Talk to your healthcare provider before using somapacitan together with beclomethasone nasal as somapacitan may alter the blood levels and effects of beclomethasone nasal. The importance of this interaction may be higher in certain patients, depending on what beclomethasone nasal is being used to treat. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your healthcare provider if your symptoms worsen or your condition changes during treatment with these 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.

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

23 potential interactions Applies to: 23 conditions, including Underactive Thyroid, Osteoporosis, Scoliosis, Head Injury, and Diabetes Mellitus.

Acute Abdomen

Major:

somapacitan

Somapacitan has a major potential interaction with Acute Abdomen.

Somapacitan is contraindicated in patients with acute critical illness after open-heart surgery, abdominal surgery or multiple accidental trauma, or those with acute respiratory failure because of the risk of increased mortality with use of pharmacologic doses of this drug.

Adrenal Insufficiency

Moderate:

somapacitan

Somapacitan has a moderate potential interaction with Adrenal Insufficiency.

Patients receiving somatropin therapy who have or are at risk for corticotropin deficiency may be at risk for reduced serum cortisol levels and/or unmasking of central (secondary) hypoadrenalism. In addition, patients treated with glucocorticoid replacement for previously diagnosed hypoadrenalism may require an increase in their maintenance or stress doses following initiation of treatment with somapacitan. Monitor patients with known hypoadrenalism for reduced serum cortisol levels and/or need for glucocorticoid dose increases.

Bladder Cancer

Major:

somapacitan

Somapacitan has a major potential interaction with Bladder Cancer.

Somapacitan is contraindicated in patients with active malignancies. There is an increased risk of neoplasm when using this drug. Monitor closely patients with preexisting tumors for progression or recurrence. There is an increased risk of a second neoplasm in childhood cancer survivors treated with somatropin, in particular meningiomas in patients treated with radiation to the head for their first neoplasm. Children with certain rare genetic causes of short stature have an increased risk of developing malignancies, so thoroughly consider the risks and benefits of starting somapacitan in these patients. If treatment is initiated, carefully monitor these patients for development of neoplasms. There is risk of malignant changes of preexisting nevi with somatropin treatment. Monitor patients on therapy carefully for increased growth or potential malignant changes of preexisting nevi. Advise patients/caregivers to report marked changes in behavior, onset of headaches, vision disturbances, and/or changes in the appearance of preexisting nevi.

Brain Tumor

Major:

somapacitan

Somapacitan has a major potential interaction with Brain Tumor.

Somapacitan is contraindicated in patients with active malignancies. There is an increased risk of neoplasm when using this drug. Monitor closely patients with preexisting tumors for progression or recurrence. There is an increased risk of a second neoplasm in childhood cancer survivors treated with somatropin, in particular meningiomas in patients treated with radiation to the head for their first neoplasm. Children with certain rare genetic causes of short stature have an increased risk of developing malignancies, so thoroughly consider the risks and benefits of starting somapacitan in these patients. If treatment is initiated, carefully monitor these patients for development of neoplasms. There is risk of malignant changes of preexisting nevi with somatropin treatment. Monitor patients on therapy carefully for increased growth or potential malignant changes of preexisting nevi. Advise patients/caregivers to report marked changes in behavior, onset of headaches, vision disturbances, and/or changes in the appearance of preexisting nevi.

Cataract

Moderate:

Vancenase AQ

The beclomethasone nasal in Vancenase AQ has a moderate potential interaction with Cataract.

Prolonged use of corticosteroids may cause posterior subcapsular cataracts and elevated intraocular pressure, the latter of which may lead to glaucoma and/or damage to the optic nerves. Therapy with corticosteroids should be administered cautiously nonetheless in patients with a history of cataracts, glaucoma, or increased intraocular pressure. Although adverse effects of corticosteroids may be minimized by local rather than systemic administration, the risks are not entirely abolished. Inhaled and nasally applied drug may be absorbed into the circulation, especially when large doses are used. It is important that the recommended dosages of the individual products not be exceeded and that the lowest effective dosage be used.

Diabetes Mellitus

Major:

somapacitan

Somapacitan has a major potential interaction with Diabetes Mellitus.

Somapacitan may decrease insulin sensitivity, particularly at higher doses. Monitor glucose levels periodically in all patients receiving treatment, especially in patients with existing diabetes mellitus or at risk for its development. Somapacitan is contraindicated in patients with active proliferative or severe non-proliferative diabetic retinopathy.

Glaucoma/Intraocular Hypertension

Moderate:

Vancenase AQ

The beclomethasone nasal in Vancenase AQ has a moderate potential interaction with Glaucoma/Intraocular Hypertension.

Prolonged use of corticosteroids may cause posterior subcapsular cataracts and elevated intraocular pressure, the latter of which may lead to glaucoma and/or damage to the optic nerves. Therapy with corticosteroids should be administered cautiously nonetheless in patients with a history of cataracts, glaucoma, or increased intraocular pressure. Although adverse effects of corticosteroids may be minimized by local rather than systemic administration, the risks are not entirely abolished. Inhaled and nasally applied drug may be absorbed into the circulation, especially when large doses are used. It is important that the recommended dosages of the individual products not be exceeded and that the lowest effective dosage be used.

Head Injury

Major:

somapacitan

Somapacitan has a major potential interaction with Head Injury.

Somapacitan is contraindicated in patients with acute critical illness after open-heart surgery, abdominal surgery or multiple accidental trauma, or those with acute respiratory failure because of the risk of increased mortality with use of pharmacologic doses of this drug.

Herpetic Keratitis

Moderate:

Vancenase AQ

The beclomethasone nasal in Vancenase AQ has a moderate potential interaction with Herpetic Keratitis.

Pharmacologic dosages of corticosteroids may increase the risk of corneal perforation in patients with ocular herpes simplex. Therapy with inhaled and nasal corticosteroids should be administered cautiously in such patients.

History, Skin Cancer

Major:

somapacitan

Somapacitan has a major potential interaction with History, Skin Cancer.

Somapacitan is contraindicated in patients with active malignancies. There is an increased risk of neoplasm when using this drug. Monitor closely patients with preexisting tumors for progression or recurrence. There is an increased risk of a second neoplasm in childhood cancer survivors treated with somatropin, in particular meningiomas in patients treated with radiation to the head for their first neoplasm. Children with certain rare genetic causes of short stature have an increased risk of developing malignancies, so thoroughly consider the risks and benefits of starting somapacitan in these patients. If treatment is initiated, carefully monitor these patients for development of neoplasms. There is risk of malignant changes of preexisting nevi with somatropin treatment. Monitor patients on therapy carefully for increased growth or potential malignant changes of preexisting nevi. Advise patients/caregivers to report marked changes in behavior, onset of headaches, vision disturbances, and/or changes in the appearance of preexisting nevi.

Hyperadrenocorticism

Moderate:

Vancenase AQ

The beclomethasone nasal in Vancenase AQ has a moderate potential interaction with Hyperadrenocorticism.

The use of corticosteroids may rarely precipitate or aggravate conditions of hyperadrenocorticism. Although adverse effects of corticosteroids may be minimized by local rather than systemic administration, the risks are not entirely abolished. Inhaled and nasally applied drug may be absorbed into the circulation, especially when large doses are used. It is important that the recommended dosages of the individual products not be exceeded and that the lowest effective dosage be used. The development of symptoms such as menstrual irregularities, acneiform lesions, cataracts and cushingoid features during inhaled or nasal corticosteroid therapy may indicate excessive use.

Infection

Moderate:

Vancenase AQ

The beclomethasone nasal in Vancenase AQ has a moderate potential interaction with Infection.

The immunosuppressant and anti-inflammatory effects of corticosteroids, particularly in higher dosages, may decrease host resistance to infectious agents, decrease the ability to localize infections, and mask the symptoms of infection. Secondary infections may be more likely to develop. Therapy with corticosteroids should be administered cautiously in patients with an infection, particularly active or quiescent tuberculosis or in hepatitis B carriers. Monitor patients for any new or worsening infection and use with caution in these patients. A serious or even fatal course of chickenpox and measles can occur in susceptible patients. It is important that the recommended dosages of the individual products not be exceeded and that the lowest effective dosage be used.

Liver Disease

Moderate:

somapacitan

Somapacitan has a moderate potential interaction with Liver Disease.

Somapacitan is not recommended in patients with severe hepatic impairment.

Lung Cancer

Major:

somapacitan

Somapacitan has a major potential interaction with Lung Cancer.

Somapacitan is contraindicated in patients with active malignancies. There is an increased risk of neoplasm when using this drug. Monitor closely patients with preexisting tumors for progression or recurrence. There is an increased risk of a second neoplasm in childhood cancer survivors treated with somatropin, in particular meningiomas in patients treated with radiation to the head for their first neoplasm. Children with certain rare genetic causes of short stature have an increased risk of developing malignancies, so thoroughly consider the risks and benefits of starting somapacitan in these patients. If treatment is initiated, carefully monitor these patients for development of neoplasms. There is risk of malignant changes of preexisting nevi with somatropin treatment. Monitor patients on therapy carefully for increased growth or potential malignant changes of preexisting nevi. Advise patients/caregivers to report marked changes in behavior, onset of headaches, vision disturbances, and/or changes in the appearance of preexisting nevi.

Multiple Endocrine Neoplasia Type II

Major:

somapacitan

Somapacitan has a major potential interaction with Multiple Endocrine Neoplasia Type II.

Somapacitan is contraindicated in patients with active malignancies. There is an increased risk of neoplasm when using this drug. Monitor closely patients with preexisting tumors for progression or recurrence. There is an increased risk of a second neoplasm in childhood cancer survivors treated with somatropin, in particular meningiomas in patients treated with radiation to the head for their first neoplasm. Children with certain rare genetic causes of short stature have an increased risk of developing malignancies, so thoroughly consider the risks and benefits of starting somapacitan in these patients. If treatment is initiated, carefully monitor these patients for development of neoplasms. There is risk of malignant changes of preexisting nevi with somatropin treatment. Monitor patients on therapy carefully for increased growth or potential malignant changes of preexisting nevi. Advise patients/caregivers to report marked changes in behavior, onset of headaches, vision disturbances, and/or changes in the appearance of preexisting nevi.

Neoplasia, Estrogen Dependent

Major:

somapacitan

Somapacitan has a major potential interaction with Neoplasia, Estrogen Dependent.

Somapacitan is contraindicated in patients with active malignancies. There is an increased risk of neoplasm when using this drug. Monitor closely patients with preexisting tumors for progression or recurrence. There is an increased risk of a second neoplasm in childhood cancer survivors treated with somatropin, in particular meningiomas in patients treated with radiation to the head for their first neoplasm. Children with certain rare genetic causes of short stature have an increased risk of developing malignancies, so thoroughly consider the risks and benefits of starting somapacitan in these patients. If treatment is initiated, carefully monitor these patients for development of neoplasms. There is risk of malignant changes of preexisting nevi with somatropin treatment. Monitor patients on therapy carefully for increased growth or potential malignant changes of preexisting nevi. Advise patients/caregivers to report marked changes in behavior, onset of headaches, vision disturbances, and/or changes in the appearance of preexisting nevi.

Osteoporosis

Moderate:

Vancenase AQ

The beclomethasone nasal in Vancenase AQ has a moderate potential interaction with Osteoporosis.

Prolonged use of inhaled corticosteroids may be associated with a reduction in bone density. This effect appears to be dose-related and has been reported primarily with high dosages (800 mcg/day or more of beclomethasone or equivalent for 1 year or greater). Reduced levels of total body calcium have also been demonstrated in patients receiving lower dosages. Long-term therapy with inhaled and nasal corticosteroids should be administered cautiously in patients with osteoporosis. It is important that the recommended dosages of the individual products not be exceeded and that the lowest effective dosage be used.

Prader-Willi Syndrome

Major:

somapacitan

Somapacitan has a major potential interaction with Prader-Willi Syndrome.

The use of somapacitan is contraindicated in pediatric patients with Prader-Willi syndrome who are severely obese, have a history of upper airway obstruction or sleep apnea or have severe respiratory impairment due to risk of sudden death.

Pulmonary Impairment

Major:

somapacitan

Somapacitan has a major potential interaction with Pulmonary Impairment.

Somapacitan is contraindicated in patients with acute critical illness after open-heart surgery, abdominal surgery or multiple accidental trauma, or those with acute respiratory failure because of the risk of increased mortality with use of pharmacologic doses of this drug.

Scoliosis

Moderate:

somapacitan

Somapacitan has a moderate potential interaction with Scoliosis.

Somapacitan increases growth rate, and progression of preexisting scoliosis can occur in patients who experience rapid growth. Monitor patients with a history of scoliosis for disease progression.

Skin Cancer

Major:

somapacitan

Somapacitan has a major potential interaction with Skin Cancer.

Somapacitan is contraindicated in patients with active malignancies. There is an increased risk of neoplasm when using this drug. Monitor closely patients with preexisting tumors for progression or recurrence. There is an increased risk of a second neoplasm in childhood cancer survivors treated with somatropin, in particular meningiomas in patients treated with radiation to the head for their first neoplasm. Children with certain rare genetic causes of short stature have an increased risk of developing malignancies, so thoroughly consider the risks and benefits of starting somapacitan in these patients. If treatment is initiated, carefully monitor these patients for development of neoplasms. There is risk of malignant changes of preexisting nevi with somatropin treatment. Monitor patients on therapy carefully for increased growth or potential malignant changes of preexisting nevi. Advise patients/caregivers to report marked changes in behavior, onset of headaches, vision disturbances, and/or changes in the appearance of preexisting nevi.

Tuberculosis, Latent

Moderate:

Vancenase AQ

The beclomethasone nasal in Vancenase AQ has a moderate potential interaction with Tuberculosis, Latent.

The immunosuppressant and anti-inflammatory effects of corticosteroids, particularly in higher dosages, may decrease host resistance to infectious agents, decrease the ability to localize infections, and mask the symptoms of infection. Secondary infections may be more likely to develop. Therapy with corticosteroids should be administered cautiously in patients with an infection, particularly active or quiescent tuberculosis or in hepatitis B carriers. Monitor patients for any new or worsening infection and use with caution in these patients. A serious or even fatal course of chickenpox and measles can occur in susceptible patients. It is important that the recommended dosages of the individual products not be exceeded and that the lowest effective dosage be used.

Underactive Thyroid

Moderate:

somapacitan

Somapacitan has a moderate potential interaction with Underactive Thyroid.

Undiagnosed or untreated hypothyroidism may prevent an optimal response to somapacitan treatment. In patients with growth hormone deficiency, central (secondary) hypothyroidism may first become evident or worsen during treatment with somatropin therapy. Therefore, patients should have periodic thyroid function tests and thyroid hormone replacement therapy should be initiated or appropriately adjusted when indicated.

More resources

somapacitan

A total of 654 drugs are known to interact with somapacitan.

Vancenase AQ

A total of 9 drugs are known to interact with Vancenase AQ.

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.