Drug General Information (ID: DDIDFM032G)
  Drug Name Paclitaxel (protein-bound) Drug Info Elotuzumab Drug Info
  Drug Type Small molecule Monoclonal antibody
  Therapeutic Class Antineoplastics/Mitotic Inhibitors Antineoplastics

 Mechanism of Paclitaxel (protein-bound)-Elotuzumab Interaction (Severity Level: Moderate)
     Increased risk of peripheral neuropathy Click to Show/Hide Mechanism Graph
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      Drug Name Paclitaxel (protein-bound) Elotuzumab
      Mechanism Peripheral neuropathy Peripheral neuropathy
      Key Mechanism Factor 1
Factor Name Peripheral neuropathy
Factor Description Peripheral neuropathy is a disorder of the peripheral nerves that can cause sensory and motor symptoms, and even paralysis in severe cases. Signs and symptoms of peripheral neuropathy may include: gradual numbness, tingling or prickling in the feet or hands that can spread up the legs and arms; sharp, stinging, pricking or burning sensations; extreme sensitivity to touch; pain during activities that should not cause pain; lack of coordination and falls; muscle weakness; and paralysis if the motor nerves are affected.
      Mechanism Description
  • Increased risk of peripheral neuropathy by the combination of Paclitaxel (protein-bound) and Elotuzumab 

Recommended Action
      Management Patients should be monitored closely for symptoms of neuropathy such as burning, tingling, pain, or numbness in the hands and feet. Since the development of peripheral neuropathy may be dose-related for many drugs, the recommended dosages should generally not be exceeded. Consideration should be given to dosage reduction or immediate discontinuation of these medications in patients who develop peripheral neuropathy to limit further damage.

References
1 Carrion C, Espinosa E, Herrero A, Garcia B "Possible vincristine-isoniazid interaction." Ann Pharmacother 29 (1995): 201. [PMID: 7756727]
2 EMEA. European Medicines Agency "EPARs. European Union Public Assessment Reports.".
3 Pharmaceutical Society of Australia "APPGuide online. Australian prescription products guide online."