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تداخل‌های دارویی

Cyclophosphamide + Doxorubicin

شدت: شدید

Cyclophosphamide and Doxorubicin: major 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

Both drugs are cardiotoxic, and combining them increases the risk of cardiac injury, particularly with high-dose cyclophosphamide and higher cumulative anthracycline doses. Additive myelosuppression also occurs, and cyclophosphamide's own urotoxicity remains a concern.

معنای این تداخل به زبان ساده

Cyclophosphamide and Doxorubicin 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.

Cyclophosphamide belongs to Oncology; Doxorubicin belongs to Oncology.

سطح شواهد: Moderate

چرا رخ می‌دهد

Additive cardiotoxic and myelosuppressive effects, with possible enhanced cyclophosphamide toxicity that is not fully characterized.

اقدام لازم

Monitor cardiac function (LVEF) and limit cumulative doxorubicin exposure, and follow blood counts. Ensure adequate hydration and mesna where indicated to protect the bladder.

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 Cyclophosphamide و Doxorubicin، 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 Cyclophosphamide with Doxorubicin?

MediHelp rates the interaction as major. Cyclophosphamide and Doxorubicin 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. Both drugs are cardiotoxic, and combining them increases the risk of cardiac injury, particularly with high-dose cyclophosphamide and higher cumulative anthracycline doses. Additive myelosuppression also occurs, and cyclophosphamide's own urotoxicity remains a concern.

How serious is the interaction between Cyclophosphamide and Doxorubicin?

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 cardiac function (LVEF) and limit cumulative doxorubicin exposure, and follow blood counts. Ensure adequate hydration and mesna where indicated to protect the bladder.

What other medicines interact with Cyclophosphamide?

MediHelp also lists interactions of Cyclophosphamide with, for example, Adenovirus types 4 and 7 live, Belatacept, Bendamustine. The full list is on the Cyclophosphamide page.

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