Use Caution/Monitor. Use Caution/Monitor.indinavir will increase the level or effect of etoposide by P-glycoprotein (MDR1) efflux transporter. Ask your doctor for more details.Tell your doctor if you are pregnant or plan to become pregnant. Hematology-Oncology Guidelines: 2017 Midyear Review. Use Caution/Monitor. Avoid or Use Alternate Drug. Neutropenia or febrile neutropenia incidence were increased when trastuzumab was coadministered with myelosuppressive chemotherapy. carbamazepine will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. fexinidazole will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)oxcarbazepine will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. idelalisib will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. See drug monograph for specific dosage modification. This effect was not observed with istradefylline 20 mg/day. cyclosporine will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. erythromycin stearate will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Your list will be saved and can be edited at any time. Reduce P-gp substrate dose if needed. Use Caution/Monitor.etoposide will increase the level or effect of tazemetostat by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Consider the risk of additive immune system effects when coadministering immunosuppressive therapies with coadministration. How to use Etoposide Take this medication by. Serious - Use Alternative (1)etoposide decreases effects of influenza virus vaccine trivalent, adjuvanted by pharmacodynamic antagonism. Use Caution/Monitor. informational and educational purposes only. Reduce P-gp substrate dose if needed.Serious - Use Alternative (1)etoposide will increase the level or effect of lonafarnib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid use and monitor patients receiving the combination for effects of excessive myelosuppression. Etoposide, therefore, is cleared by both renal and nonrenal processes, i.e. Use Caution/Monitor. Modify Therapy/Monitor Closely. For small cell lung cancer: AdultsDose is based on body size and must be determined by your doctor. Avoid or Use Alternate Drug. Adjust finererone dosage as needed. Adjust dose according to prescribing information if needed. Use Caution/Monitor. Use caution when switching patients from long-acting therapies with immune effects. Use Caution/Monitor. Use Caution/Monitor. Use Caution/Monitor. Minor/Significance Unknown. Monitor Closely (1)mitotane decreases levels of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Use Caution/Monitor. tazemetostat will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. stiripentol, etoposide. nafcillin will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. vemurafenib increases levels of etoposide by P-glycoprotein (MDR1) efflux transporter. This website also contains material copyrighted by 3rd parties. trastuzumab, etoposide. indinavir will increase the level or effect of etoposide by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor. Monitor Closely (1)iloperidone increases levels of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. dichlorphenamide, etoposide. Avoid or Use Alternate Drug. Concomitant therapy is expected to increase the risk of immunosuppression. Monitor Closely (1)fosamprenavir will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown. ofatumumab SC, etoposide. Use Caution/Monitor. Monitor Closely (1)etoposide will increase the level or effect of isavuconazonium sulfate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Dose reduction may be needed for coadministered drugs that are predominantly metabolized by CYP3A. Modify Therapy/Monitor Closely. Monitor Closely (1)etoposide will increase the level or effect of lemborexant by affecting hepatic/intestinal enzyme CYP3A4 metabolism. sotorasib will decrease the level or effect of etoposide by P-glycoprotein (MDR1) efflux transporter. 4. Use Caution/Monitor. It is also available as a clear liquid given by vein (IV) Etoposide can pose a health hazard to caregivers. Monitor Closely (1)eliglustat increases levels of etoposide by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor. tacrolimus will increase the level or effect of etoposide by P-glycoprotein (MDR1) efflux transporter. Monitor Closely (1)isoniazid will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Monitor Closely (2)tazemetostat will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. MISSED DOSE: It is important to take each dose of etoposide as scheduled. When the HLH-94 protocol is applied to adults with HLH, reducing the etoposide dose from 150 mg/m 2 to 50-100 mg/m 2 is recommended . Comment: Caution should be taken in patients on concomitant immunosuppressants or with impaired immune systems because of increased risk for serious infections. Ivacaftor and its M1 metabolite has the potential to inhibit P-gp; may significantly increase systemic exposure to sensitive P-gp substrates with a narrow therapeutic index. Nausea and vomiting can be severe. 4 UNI | 4.95 per 1UNI. You should not become pregnant while using etoposide. Monitor Closely (1)fluconazole will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown. Monitor CYP3A substrates if coadministered. Crofelemer has the potential to inhibit CYP3A4 at concentrations expected in the gut; unlikely to inhibit systemically because minimally absorbed. Coadministration of apalutamide, a strong CYP3A4 inducer, with drugs that are CYP3A4 substrates can result in lower exposure to these medications. Save 2.20. erythromycin stearate will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Lower nightly dose of lemborexant recommended if coadministered with weak CYP3A4 inhibitors. Monitor Closely (1)trastuzumab deruxtecan, etoposide. Consider reducing dose when used concomitantly with lomitapide. Serious - Use Alternative (1)erdafitinib will increase the level or effect of etoposide by P-glycoprotein (MDR1) efflux transporter. Both drugs can cause metabolic acidosis. Use Caution/Monitor. The dose of Etoposide capsules is based on the recommended intravenous dose taking into account the dose-dependent bioavailability of Etoposide capsules. Consult your doctor or pharmacist for more information.Before having surgery, tell your doctor about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).Older adults may be more sensitive to the side effects of this drug, especially drowsiness, weakness, mouth/throat sores, loss of appetite, low white blood cells, and dehydration.This medication can affect fertility in both males and females. Encorafenib both inhibits and induces CYP3A4 at clinically relevant plasma concentrations. Monitor or titrate P-gp substrate dose if coadministered. Use Caution/Monitor. The dosage is based on your medical condition and response to treatment.Do not increase your dose or use this drug more often or for longer than prescribed. Monitor Closely (1)rifapentine will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Avoid concomitant use of tucatinib with CYP3A substrates, where minimal concentration changes may lead to serious or life-threatening toxicities. Monitor therapeutic drug concentrations, as indicated, or consider reducing the dosage of the P-gp substrate and titrate to clinical effect. Talk to your doctor if you have been exposed to an infection or for more details.Tell your health care professional that you are using etoposide before having any immunizations/vaccinations. It inhibits DNA topoisomerase II, thereby ultimately inhibiting DNA synthesis. Use Caution/Monitor. ropeginterferon alfa 2b, etoposide. Ask your doctor for more details.A very serious allergic reaction to this drug is rare. Minor/Significance Unknown. fosamprenavir will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. artemether/lumefantrine will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Eating several small meals, not eating before treatment, or limiting activity may help lessen some of these effects. Canada residents can call a provincial poison control center. Monitor Closely (1)atazanavir will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Etoposide is a white or almost white, crystalline powder, practically insoluble in water, sparingly soluble in methanol, slightly soluble in alcohol and in methylene chloride. In children, approximately 55% of the dose is excreted in the urine as etoposide in 24 hours. Avoid or Use Alternate Drug. Modify Therapy/Monitor Closely. Avoid contact with people who have recently received live vaccines (such as flu vaccine inhaled through the nose).To lower the chance of getting cut, bruised, or injured, use caution with sharp objects like razors and nail cutters, and avoid activities such as contact sports.Daily use of alcohol while using this medicine may increase your risk for stomach bleeding. Monitor Closely (1)letermovir increases levels of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Brush your teeth carefully/gently, avoid using mouthwash that contains alcohol, and rinse your mouth often with cool water mixed with baking soda or salt. rifampin will decrease the level or effect of etoposide by P-glycoprotein (MDR1) efflux transporter. Monitor Closely (2)ketoconazole will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)encorafenib, etoposide. Monitor Closely (1)secobarbital will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Last updated on Jul 25, 2022. Use Caution/Monitor. ChildrenUse and dose must be determined by your doctor. This product may contain inactive ingredients, which can cause allergic reactions or other problems. cenobamate will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. It is 4'-Demethylepipodophyllotoxin . You may report side effects to Health Canada at 1-866-234-2345. Monitor Closely (1)dabrafenib will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. This drug is available at a higher level co-pay. Monitor Closely (1)ivacaftor increases levels of etoposide by P-glycoprotein (MDR1) efflux transporter. Idelalisib is a strong CYP3A inhibitor; avoid coadministration with sensitive CYP3A substrates. Due to poor bioavailability, oral doses should be twice the IV dose (and rounded to the nearest 50 mg). Etoposide Dosage Print Save Etoposide Dosage Medically reviewed by Drugs.com. Drugs & Diseases etoposide (Rx) Brand and Other Names: VePesid, Toposar, more. lorlatinib will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. . Modify Therapy/Monitor Closely. Monitor Closely (1)acalabrutinib, etoposide. Use Caution/Monitor. Adjust dosage of CYP3A4 substrates, if clinically indicated. dronedarone will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Most Individuals with altered immunocompetence may have reduced immune responses to the vaccine. Information last revised May 2023. Use Caution/Monitor. Monitor Closely (1)bosentan will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)vemurafenib increases levels of etoposide by P-glycoprotein (MDR1) efflux transporter. Avoid or Use Alternate Drug. apalutamide will decrease the level or effect of etoposide by increasing elimination. Minor/Significance Unknown. Monitor for adverse reactions if coadministered with P-gp substrates where minimal concentration changes may lead to serious or life-threatening toxicities. Use Caution/Monitor. Monitor Closely (1)etoposide decreases effects of meningococcal group B vaccine by pharmacodynamic antagonism. Monitor Closely (2)rifampin will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Most Etoposide is in a class of medications known as podophyllotoxin derivatives. Monitor Closely (1)conivaptan will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Immunosuppressive drugs may reduce the immune response to influenza vaccine. Monitor Closely (1)istradefylline will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Monitor Closely (1)cimetidine will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Adding plans allows you to compare formulary status to other drugs in the same class. Tell your doctor right away if you have any signs of infection (such as sore throat that doesn't go away, fever, chills, cough).Tell your doctor right away if you have any serious side effects, including: numbness/tingling of arms/legs, sudden vision changes, eye pain, stomach/abdominal pain, yellowing eyes/skin, dark urine, painful/difficult swallowing.Although etoposide may be used to treat certain leukemias, it may rarely cause acute leukemia. Comment: Palifermin should not be administered within 24 hrbefore, during infusion of, or within 24 hr after administration of antineoplastic agents. Drug type: Etoposide is an anti-cancer ("antineoplastic" or "cytotoxic") chemotherapy drug. Use Caution/Monitor. Use Caution/Monitor. Consider increasing CYP3A substrate dose if needed. Thus, we administered etoposide at a dose of 80 mg/m 2 2 . Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Use Caution/Monitor.Serious - Use Alternative (1)nefazodone will increase the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. A: Generally acceptable. lomitapide increases levels of etoposide by P-glycoprotein (MDR1) efflux transporter. When switching from drugs with prolonged immune effects, consider the half-life and mode of action of these drugs to avoid unintended additive immunosuppressive effects. Modify Therapy/Monitor Closely. Mitotane is a strong inducer of cytochrome P-4503A4; monitor when coadministered with CYP3A4 substrates for possible dosage adjustments. Consult your pharmacist or local waste disposal company. Coadministration of mild CYP3A4 inhibitors with midazolam intranasal may cause higher midazolam systemic exposure, which may prolong sedation. Mitotane is a strong inducer of cytochrome P-4503A4; monitor when coadministered with CYP3A4 substrates for possible dosage adjustments. Use Caution/Monitor. Monitor Closely (1)carbamazepine will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Use Caution/Monitor.cyclosporine will increase the level or effect of etoposide by P-glycoprotein (MDR1) efflux transporter. Idelalisib is a strong CYP3A inhibitor; avoid coadministration with sensitive CYP3A substrates. Etoposide is a phase-specific, cytotoxic drug acting in the late S and early G2 phases of the cell cycle. ponatinib increases levels of etoposide by P-glycoprotein (MDR1) efflux transporter. 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