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تداخل‌های دارویی

Didanosine + Ganciclovir

شدت: شدید

Didanosine and Ganciclovir: major interaction.

آخرین به‌روزرسانی

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خلاصه

Ganciclovir increases didanosine exposure, which can heighten didanosine toxicities such as pancreatitis, peripheral neuropathy and lactic acidosis. Both drugs can also cause bone marrow or other toxicities, complicating the picture.

معنای این تداخل به زبان ساده

Didanosine and Ganciclovir 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.

Didanosine belongs to Anti Virals; Ganciclovir belongs to Anti Virals.

سطح شواهد: Moderate

چرا رخ می‌دهد

Ganciclovir reduces didanosine clearance, probably via competition for renal elimination, with overlapping toxicities.

اقدام لازم

Avoid the combination if possible; if needed, consider reducing the didanosine dose and monitor for pancreatitis, neuropathy, lactate and blood counts.

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 Didanosine و Ganciclovir، 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 Didanosine with Ganciclovir?

MediHelp rates the interaction as major. Didanosine and Ganciclovir 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. Ganciclovir increases didanosine exposure, which can heighten didanosine toxicities such as pancreatitis, peripheral neuropathy and lactic acidosis. Both drugs can also cause bone marrow or other toxicities, complicating the picture.

How serious is the interaction between Didanosine and Ganciclovir?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination if possible; if needed, consider reducing the didanosine dose and monitor for pancreatitis, neuropathy, lactate and blood counts.

What other medicines interact with Ganciclovir?

MediHelp also lists interactions of Ganciclovir with, for example, Bacitracin, Cilastatin-imipenem, Imipenem / cilastatin. The full list is on the Ganciclovir page.

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