تداخل‌های دارویی
Cladribine + Siponimod
شدت: منع مصرف
Cladribine and Siponimod: 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
Cladribine causes prolonged lymphocyte depletion, and siponimod further reduces lymphocyte counts. Combined use may produce profound, long-lasting immunosuppression with serious infection risk.
معنای این تداخل به زبان ساده
Cladribine and Siponimod 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.
Cladribine belongs to Oncology; Siponimod belongs to Central Nervous System.
چرا رخ می‌دهد
Additive lymphocyte depletion: cladribine is cytotoxic to lymphocytes and siponimod sequesters them in lymphoid tissue.
اقدام لازم
Do not use together; cladribine labeling advises against concomitant immunosuppressive or myelosuppressive therapy. When switching, check lymphocyte counts and allow adequate recovery before starting the second drug.
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?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Cladribine و Siponimod، 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.
تداخلات دیگر Siponimod
- Fingolimod + Siponimod منع مصرف
- Fluconazole + Siponimod منع مصرف
- Influenza virus vaccine quadrivalent intranasal + Siponimod منع مصرف
- Ponesimod + Siponimod منع مصرف
- Siponimod + Thioridazine منع مصرف
- Adenovirus types 4 and 7 live + Siponimod شدید
تداخلات دیگر Cladribine
پرسش‌های متداول
Can I take Cladribine with Siponimod?
MediHelp rates the interaction as contraindicated. Cladribine and Siponimod 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. Cladribine causes prolonged lymphocyte depletion, and siponimod further reduces lymphocyte counts. Combined use may produce profound, long-lasting immunosuppression with serious infection risk.
How serious is the interaction between Cladribine and Siponimod?
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; cladribine labeling advises against concomitant immunosuppressive or myelosuppressive therapy. When switching, check lymphocyte counts and allow adequate recovery before starting the second drug.
What other medicines interact with Siponimod?
MediHelp also lists interactions of Siponimod with, for example, Fingolimod, Fluconazole, Influenza virus vaccine quadrivalent intranasal. The full list is on the Siponimod page.
تک‌نگاری کامل، دوزاژ و بررسی تداخل دارویی در برنامه MediHelp
مرجع کامل را باز کنید، تداخل چند دارو را بررسی کنید و از ابزارهای دوز در برنامه MediHelp استفاده کنید.
