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Apalutamide + Dapsone

شدت: متوسط

Apalutamide and Dapsone: moderate interaction.

آخرین به‌روزرسانی

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خلاصه

Apalutamide is a strong inducer of CYP3A4 and also induces CYP2C19, enzymes involved in dapsone metabolism. Dapsone concentrations may fall, which could reduce efficacy. Induction may also increase formation of hydroxylamine metabolites linked to methemoglobinemia and hemolysis.

معنای این تداخل به زبان ساده

Apalutamide and Dapsone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Apalutamide belongs to Endocrine; Dapsone belongs to Anti Bacterial.

سطح شواهد: Low

چرا رخ می‌دهد

Apalutamide induces CYP3A4 (and CYP2C19), increasing dapsone clearance and possibly altering metabolite formation.

اقدام لازم

Monitor for loss of dapsone efficacy and for methemoglobinemia or hemolysis with blood counts. Consider an alternative agent if efficacy cannot be assured.

از داروساز چه بپرسید

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

ویژه اعضای Pro+

باز کردن کل صفحه

یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Apalutamide و Dapsone، یادداشت‌های تکمیلی، جزئیات شواهد و بررسی‌کننده تداخل برای کل نسخه را باز کنید.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Pro+ را ۱۴ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.

پرسش‌های متداول

Can I take Apalutamide with Dapsone?

MediHelp rates the interaction as moderate. Apalutamide and Dapsone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Apalutamide is a strong inducer of CYP3A4 and also induces CYP2C19, enzymes involved in dapsone metabolism. Dapsone concentrations may fall, which could reduce efficacy. Induction may also increase formation of hydroxylamine metabolites linked to methemoglobinemia and hemolysis.

How serious is the interaction between Apalutamide and Dapsone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for loss of dapsone efficacy and for methemoglobinemia or hemolysis with blood counts. Consider an alternative agent if efficacy cannot be assured.

What other medicines interact with Dapsone?

MediHelp also lists interactions of Dapsone with, for example, Bcg vaccine live, Primaquine, Belzutifan. The full list is on the Dapsone page.

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