Drug General Information (ID: DDIWN9CTE2)
Drug Name			Sargramostim		Drug Info		Interferon gamma-1b		Drug Info
Drug Type		Protein/peptide				Interferons
Therapeutic Class		Colony Stimulating Factors				Immunomodulatory Agents

Mechanism of Sargramostim-Interferon gamma-1b Interaction (Severity Level: Moderate)
Attenuated pharmacological effects (Unspecific) Click to Show/Hide Mechanism Graph
Drug Name		Sargramostim				Interferon gamma-1b
Mechanism		Hematopoietic growth factors				Reduce therapeutic efficacy of hematopoietic growth factors
Key Mechanism Factor 1
		Factor Name		Pharmacodynamics
		Factor Description		Reduced pharmacological effects leading to insufficient efficacy and/or treatment failure.
Mechanism Description		Attenuated pharmacological effects of  Sargramostim when combined with Interferon gamma-1b

Recommended Action
Management		Because of the potential sensitivity of rapidly dividing myeloid cells to cancer chemotherapy, hematopoietic growth factors should not be used within 24 hours before or 24 hours after administration of antineoplastic agents.

References
1	Product Information. Granix (tbo-filgrastim). Teva Pharmaceuticals USA, North Wales, PA.
2	Product Information. Leukine (sargramostim). Immunex Corporation, Seattle, WA.
3	Product Information. Stemgen (ancestim) Amgen, Thousand Oaks, CA.