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تداخل‌های دارویی

Cisapride + Ribociclib

شدت: منع مصرف

Cisapride and Ribociclib: contraindicated interaction.

آخرین به‌روزرسانی

ویژه کادر درمان — فقط جهت مرجع. این صفحه خلاصه‌ای کوتاه است، توصیه پزشکی نیست و جایگزین بروشور رسمی یا قضاوت بالینی نمی‌شود. پیش از تجویز یا تحویل دارو همیشه بررسی کنید.

محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.

خلاصه

Ribociclib is a moderate CYP3A4 inhibitor and also prolongs the QT interval in a dose-dependent manner. Combined with cisapride, which is a CYP3A4 substrate with a known risk of torsades de pointes, this could produce serious arrhythmia.

معنای این تداخل به زبان ساده

Cisapride and Ribociclib 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.

Cisapride belongs to Gastrointestinal Tract; Ribociclib belongs to Oncology.

سطح شواهد: Moderate

چرا رخ می‌دهد

Ribociclib inhibits CYP3A4, which may increase cisapride exposure, and both drugs prolong the QT interval additively.

اقدام لازم

Avoid the combination and choose a non-QT-prolonging prokinetic or antiemetic. If it cannot be avoided, specialist supervision with ECG and electrolyte monitoring is required.

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 Cisapride و Ribociclib، 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 Cisapride with Ribociclib?

MediHelp rates the interaction as contraindicated. Cisapride and Ribociclib 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. Ribociclib is a moderate CYP3A4 inhibitor and also prolongs the QT interval in a dose-dependent manner. Combined with cisapride, which is a CYP3A4 substrate with a known risk of torsades de pointes, this could produce serious arrhythmia.

How serious is the interaction between Cisapride and Ribociclib?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and choose a non-QT-prolonging prokinetic or antiemetic. If it cannot be avoided, specialist supervision with ECG and electrolyte monitoring is required.

What other medicines interact with Cisapride?

MediHelp also lists interactions of Cisapride with, for example, Apomorphine, Artemether, Azithromycin. The full list is on the Cisapride page.

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