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Apalutamide + Lonafarnib

شدت: منع مصرف

Apalutamide and Lonafarnib: contraindicated interaction.

آخرین به‌روزرسانی

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خلاصه

Lonafarnib is a sensitive CYP3A4 substrate, and a strong inducer like apalutamide can reduce its levels considerably, compromising efficacy.

معنای این تداخل به زبان ساده

Apalutamide and Lonafarnib are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Apalutamide belongs to Endocrine; Lonafarnib belongs to Miscellaneous.

سطح شواهد: Moderate

چرا رخ می‌دهد

Apalutamide induces CYP3A4, enhancing the metabolic clearance of lonafarnib.

اقدام لازم

Do not use together; choose a different antiandrogen. If an inducer must be stopped, wait for induction to resolve before restarting full lonafarnib dosing as directed by labeling.

از داروساز چه بپرسید

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Lonafarnib، 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 Lonafarnib?

MediHelp rates the interaction as contraindicated. Apalutamide and Lonafarnib are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Lonafarnib is a sensitive CYP3A4 substrate, and a strong inducer like apalutamide can reduce its levels considerably, compromising efficacy.

How serious is the interaction between Apalutamide and Lonafarnib?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; choose a different antiandrogen. If an inducer must be stopped, wait for induction to resolve before restarting full lonafarnib dosing as directed by labeling.

What other medicines interact with Apalutamide?

MediHelp also lists interactions of Apalutamide with, for example, Cabotegravir, Cobicistat, Doravirine. The full list is on the Apalutamide page.

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