Vincristine interactions

Vincristine (Vincasar PFS) has 97 documented interactions across the FDA labels and fact sheets we index: 51 major, 31 moderate, 15 minor, and 0 where a label reports no significant interaction. Each entry below quotes the sentence behind it. This drug page is a starting point, not a verdict for your situation.

Interactions from the label

Major interactions (51)

  • AbrocitinibJAK inhibitorMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • AmiodaroneantiarrhythmicMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • AprepitantCYP3A4 inhibitorMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • AtazanavirantiretroviralMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • CenobamateanticonvulsantMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • CimetidineH2 blockerMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Clarithromycinmacrolide antibioticMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • CyclosporineimmunosuppressantMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • DarunavirantiretroviralMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Darunavir and cobicistatantiretroviralMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Diltiazemcalcium channel blockerMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • DronedaroneantiarrhythmicMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • EfavirenzantiretroviralMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Erythromycinmacrolide antibioticMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • EtravirineantiretroviralMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • EverolimusimmunosuppressantMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • FlibanserinCNS depressantMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • Fluconazoleazole antifungalMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • FosamprenavirantiretroviralMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • FosaprepitantCYP3A4 inhibitorMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Local injection of hyaluronidase and the application of moderate heat to the area of leakage help disperse the drug and are thought to minimize discomfort and the possibility of cellulitis. (Vincristine label, Boxed warning)

  • ImatinibCYP3A4 inhibitorMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • IsoniazidantibioticMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Itraconazoleazole antifungalMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • IvacaftorCYP3A4 inhibitorMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Ketoconazoleazole antifungalMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • LapatinibP-glycoprotein inhibitorMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • LenacapavirantiretroviralMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Lopinavir and ritonavirantiretroviralMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • MifepristoneCYP3A4 inhibitorMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Mirabegronbeta-adrenergic agonistMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • MitapivatCYP3A4 inducerMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • NefazodoneantidepressantMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • NilotinibQT-prolonging drugMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • PalbociclibCYP3A4 inhibitorMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • PerampanelanticonvulsantMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Posaconazoleazole antifungalMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • PropafenoneantiarrhythmicMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • QuinidineantiarrhythmicMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • RanolazineQT-prolonging drugMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • RitonavirantiretroviralMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

  • Suvorexantsedative-hypnoticMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Ticagrelorantiplatelet agentMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Verapamilcalcium channel blockerMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • Voriconazoleazole antifungalMajor

    Therefore, the concomitant use of strong CYP3A inhibitors with vincristine sulfate should be avoided. (Vincristine label, Drug interactions)

  • ZonisamideanticonvulsantMajor

    Therefore, the concomitant use of P-gp inhibitors or inducers should be avoided. (Vincristine label, Drug interactions)

Moderate interactions (31)

  • BrivaracetamanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • Cannabidiol (prescription)anticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • CarbamazepineanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • ClobazambenzodiazepineModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • ClonazepambenzodiazepineModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • CytarabineantimetaboliteModerate

    Drug Interactions Reversible decreases in steady-state plasma digoxin concentrations and renal glycoside excretion were observed in patients receiving beta-acetyldigoxin and chemotherapy regimens containing cyclophosphamide, vincristine and prednisone with or without cytarabine injection or procarbazine. (Cytarabine label, Drug interactions)

  • Divalproex (valproate)anticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • DoxorubicinModerate

    …treated with 6-mercaptopurine (500 mg/m 2 intravenously daily for 5 days per cycle every 2–3 weeks) and doxorubicin hydrochloride (50 mg/m 2 intravenous once per cycle every 2–3 weeks) alone or with vincristine and prednisone, all developed hepatic dysfunction manifested by increased total serum bilirubin, alkaline phosphatase and aspartate aminotransferase. (Doxorubicin label, Drug interactions)

  • EslicarbazepineanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • EthosuximideanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • FelbamateanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • FosphenytoinanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • GabapentinanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • GanciclovirantiviralModerate

    …drugs associated with myelosuppression or nephrotoxicity (e.g., dapsone, doxorubicin, flucytosine, hydroxyurea, pentamidine, tacrolimus, trimethoprim/ sulfamethoxazole, vinblastine, vincristine and zidovudine) Unknown Because of potential for higher toxicity, coadministration with Ganciclovir should be considered only if the potential benefits are judged to outweigh… (Ganciclovir label, Drug interactions)

  • LacosamideanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • LamotrigineanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • LevetiracetamanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • MethsuximideanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • OxcarbazepineanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • PhenobarbitalbarbiturateModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • Phentermine and topiramateCNS stimulantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • PhenytoinanticonvulsantModerate

    The interaction may result from reduced absorption of phenytoin and an increase in the rate of its metabolism and elimination. (Vincristine label, Drug interactions)

  • PregabalinanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • PrimidoneanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • RufinamideanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • TiagabineanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • TopiramateanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • ValganciclovirantiviralModerate

    …associated with myelosuppression or nephrotoxicity (e.g., adriamycin, dapsone, doxorubicin, flucytosine, hydroxyurea, pentamidine, tacrolimus, trimethoprim/ sulfamethoxazole, vinblastine, vincristine, and zidovudine) Unknown Because of potential for higher toxicity, coadministration with valganciclovir hydrochloride should be considered only if the potential benefits… (Valganciclovir label, Drug interactions)

  • Valproic acidanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

  • VasopressinModerate

    Drugs Suspected of Causing SIADH Use with drugs suspected of causing SIADH (e.g., SSRIs, tricyclic antidepressants, haloperidol, chlorpropamide, enalapril, methyldopa, pentamidine, vincristine, cyclophosphamide, ifosfamide, felbamate) may increase the pressor effect in addition to the antidiuretic effect of Vasostrict ® . (Vasopressin label, Drug interactions)

  • VigabatrinanticonvulsantModerate

    Drug Interactions The simultaneous oral or intravenous administration of phenytoin and antineoplastic chemotherapy combinations that included vincristine sulfate has been reported to reduce blood levels of the anticonvulsant and to increase seizure activity. (Vincristine label, Drug interactions)

Minor mentions (15)

  • ArmodafinilCNS stimulantMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • …baseline for one patient In the combination study of bortezomib with rituximab, cyclophosphamide, doxorubicin and prednisone (BR-CAP) in previously untreated mantle cell lymphoma patients, the incidence of thrombocytopenia (≥ Grade 4) was 32% vs 1% for the rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) arm as shown in Table 12 . (Bortezomib label, Warnings and precautions)

  • BosentanCYP3A4 inducerMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • Deferasiroxiron supplementMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • DexamethasonecorticosteroidMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • GriseofulvinantifungalMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • LorlatinibCYP3A4 inducerMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • MitotaneCYP3A4 inducerMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • ModafinilCNS stimulantMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • Nafcillinpenicillin antibioticMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • NevirapineantiretroviralMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • RifabutinantibioticMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • RifampinantibioticMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • RifapentineantibioticMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

  • SuzetrigineCYP3A4 inducerMinor

    Concurrent use of strong CYP3A inducers (e.g., St. (Vincristine label, Drug interactions)

Check Vincristine against everything you take. Add your full list; every pair is checked at once.

Open in the checker

Not medical advice. Severity reflects the label's wording, not your circumstances. A "major" flag can be routine under supervision and a "minor" one can matter at high doses. Ask a pharmacist.