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Apalutamide + Flutamide

شدت: متوسط

Apalutamide and Flutamide: moderate interaction.

آخرین به‌روزرسانی

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خلاصه

Flutamide is converted by CYP1A2 to its active metabolite, with some CYP3A4 involvement. Apalutamide as an inducer may alter exposure, and both drugs are antiandrogens with additive hepatotoxicity potential, and combining them has no therapeutic rationale.

معنای این تداخل به زبان ساده

Apalutamide and Flutamide 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; Flutamide belongs to Endocrine.

سطح شواهد: Low

چرا رخ می‌دهد

Apalutamide induces CYP3A4 and may change flutamide metabolism, with overlapping antiandrogen pharmacology.

اقدام لازم

Avoid using two antiandrogens together. If they must be combined, monitor liver tests and clinical response.

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 Flutamide، 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 Flutamide?

MediHelp rates the interaction as moderate. Apalutamide and Flutamide 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. Flutamide is converted by CYP1A2 to its active metabolite, with some CYP3A4 involvement. Apalutamide as an inducer may alter exposure, and both drugs are antiandrogens with additive hepatotoxicity potential, and combining them has no therapeutic rationale.

How serious is the interaction between Apalutamide and Flutamide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid using two antiandrogens together. If they must be combined, monitor liver tests and clinical response.

What other medicines interact with Flutamide?

MediHelp also lists interactions of Flutamide with, for example, Idelalisib, Levoketoconazole, Pexidartinib. The full list is on the Flutamide page.

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