Actemra and Pentam drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Actemra (tocilizumab) and Pentam (pentamidine isethionate). Common drug interactions include septic shock among females and platelet count decreased among males.

The phase IV clinical study analyzes what interactions people have when they take Actemra and Pentam. It is created by eHealthMe based on reports of 21 people who take the same drugs from the FDA, and is updated regularly.

What is Actemra?

Actemra has active ingredients of tocilizumab. It is often used in rheumatoid arthritis. eHealthMe is studying from 102,759 Actemra users. Check the latest studies of Actemra.

What is Pentam?

Pentam has active ingredients of pentamidine isethionate. eHealthMe is studying from 5,686 Pentam users. Check the latest studies of Pentam.



On Jul, 28, 2026

21 people who take Actemra and Pentam together, and have interactions are studied.

Actemra and Pentam drug interactions.

What are the common drug interactions of Actemra and Pentam, by gender? *:

female:

  1. Septic shock (shock due to blood infection)
  2. Drug hypersensitivity
  3. Immunodeficiency
  4. Mouth ulceration (mouth ulcers)
  5. Pneumonia
  6. Fluid overload (too much fluid in the blood)
  7. Impaired healing
  8. Tachycardia (a heart rate that exceeds the range of 100 beats/min)
  9. Abdominal pain
  10. Acidosis (build-up of carbon dioxide in the blood)

male:

  1. Platelet count decreased
  2. Abdominal infection
  3. Blood calcium decreased
  4. Blood chloride increased
  5. Blood creatinine decreased
  6. Blood fibrinogen decreased
  7. Blood glucose increased
  8. Blood lactate dehydrogenase increased
  9. Blood magnesium increased
  10. Blood phosphorus decreased

What are the common drug interactions of Actemra and Pentam, by age (0-1 to 60+)? *:

0-1:

  1. Abdominal infection
  2. Activated partial thromboplastin time prolonged
  3. Alanine aminotransferase increased
  4. Ammonia decreased
  5. Anaemia (lack of blood)
  6. Anion gap increased
  7. Aspartate aminotransferase increased
  8. Blast cell count increased
  9. Blood albumin decreased
  10. Blood calcium decreased

2-9:

  1. Abdominal pain
  2. Drug eruption (adverse drug reaction of the skin)
  3. Histiocytosis haematophagic
  4. Platelet count decreased
  5. Vomiting

10-19:

n/a

20-29:

  1. Abdominal pain
  2. Acidosis (build-up of carbon dioxide in the blood)
  3. Aspartate aminotransferase increased
  4. Death
  5. Decreased appetite
  6. Dehydration (dryness resulting from the removal of water)
  7. Drug hypersensitivity
  8. Fluid overload (too much fluid in the blood)
  9. Headache (pain in head)
  10. Hypertension (high blood pressure)

30-39:

  1. Disease progression

40-49:

  1. Ascites (accumulation of fluid in the abdominal cavity)
  2. Azotaemia (excess of urea or other nitrogenous compounds in the blood)
  3. Bacteraemia (presence of bacteria in the blood)
  4. Blood bilirubin increased
  5. Candida sepsis (candida in blood stream)
  6. Cholestasis (a condition where bile cannot flow from the liver to the duodenum)
  7. Fluid overload (too much fluid in the blood)
  8. Lactic acidosis (low ph in body tissues)
  9. Pneumonia aspiration (bronchopneumonia that develops due to the entrance of foreign materials into the bronchial tree)
  10. Portal hypertension (increase in the blood pressure within a system of veins called the portal venous system)

50-59:

  1. Sepsis (a severe blood infection that can lead to organ failure and death)
  2. Drug hypersensitivity
  3. Immunodeficiency
  4. Mouth ulceration (mouth ulcers)
  5. Pneumonia

60+:

  1. Haematuria (presence of blood in urine)
  2. Injection site reaction
  3. Mycobacterial infection
  4. Skin infection
  5. Soft tissue infection
  6. Tendonitis (a condition that causes pain and swelling of tendons)

What are the existing conditions these people have? *

  1. Non-Hodgkin's Lymphoma (malignant (cancer) cells form in the lymph system): 4 people, 19.05%
  2. Allergic Rhinitis: 4 people, 19.05%
  3. Cytokine Release Syndrome (immediate complication occurring with the use of anti-t cell antibody infusions): 3 people, 14.29%
  4. Acute Lymphocytic Leukemia (All) (cancer of the white blood cells characterized by excess lymphoblasts): 2 people, 9.52%

* Approximation only. Some reports may have incomplete information.

Do you take Actemra and Pentam?

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Actemra and Pentam:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Actemra:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Pentam:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Actemra and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Pentam and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

How the study uses the data?

The study uses data from the FDA. It is based on tocilizumab and pentamidine isethionate (the active ingredients of Actemra and Pentam, respectively), and Actemra and Pentam (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.



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