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Benzhydrocodone / acetaminophen + Imatinib

شدت: شدید

Benzhydrocodone / acetaminophen and Imatinib: major interaction.

آخرین به‌روزرسانی

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خلاصه

Benzhydrocodone is a prodrug of hydrocodone, which is metabolised by CYP3A4 to norhydrocodone. Imatinib inhibits CYP3A4, which can raise hydrocodone levels and increase sedation and respiratory depression.

معنای این تداخل به زبان ساده

Benzhydrocodone / acetaminophen and Imatinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

سطح شواهد: Moderate

چرا رخ می‌دهد

CYP3A4 inhibition by imatinib reduces hydrocodone clearance, with a minor contribution from CYP2D6 inhibition.

اقدام لازم

Monitor closely for sedation and respiratory depression, and reduce the opioid dose if needed. Take care when imatinib is started or stopped.

از داروساز چه بپرسید

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Benzhydrocodone / acetaminophen و Imatinib، 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 Benzhydrocodone / acetaminophen with Imatinib?

MediHelp rates the interaction as major. Benzhydrocodone / acetaminophen and Imatinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Benzhydrocodone is a prodrug of hydrocodone, which is metabolised by CYP3A4 to norhydrocodone. Imatinib inhibits CYP3A4, which can raise hydrocodone levels and increase sedation and respiratory depression.

How serious is the interaction between Benzhydrocodone / acetaminophen and Imatinib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor closely for sedation and respiratory depression, and reduce the opioid dose if needed. Take care when imatinib is started or stopped.

What other medicines interact with Imatinib?

MediHelp also lists interactions of Imatinib with, for example, Lomitapide, Lonafarnib, Amobarbital. The full list is on the Imatinib page.

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