INJAK XR TABLET Tofacitinib Ketoconazole
ModerateIf you take Ketoconazole together with Tofacitinib, the usual recommended dose of Tofatin XR is 5 mg once daily. Ketoconazole is a strong inhibitor of Cytochrome P450 3A4 (CYP3A4), an enzyme that breaks down Tofacitinib in the body, so it can cause more of the medicine to build up. The same 5 mg once daily dose applies when Tofacitinib is taken with other medicines that cause a moderate drop in CYP3A4 activity and a strong drop in CYP2C19 activity, such as fluconazole.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.