تداخلهای دارویی
Glucarpidase + Leucovorin
شدت: شدید
Glucarpidase and Leucovorin: major interaction.
آخرین بهروزرسانی
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محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.
خلاصه
Glucarpidase can hydrolyze leucovorin and its active metabolite, reducing rescue effect if given close together. Reduced rescue may worsen methotrexate toxicity.
معنای این تداخل به زبان ساده
Glucarpidase and Leucovorin 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.
Glucarpidase belongs to Miscellaneous; Leucovorin belongs to Miscellaneous.
چرا رخ میدهد
Glucarpidase is a carboxypeptidase that cleaves folate analogs, including leucovorin.
اقدام لازم
Do not give leucovorin within 2 hours before or after glucarpidase. Dose leucovorin on the basis of the methotrexate concentration measured by a chromatographic method.
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?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیههای کامل مدیریت Glucarpidase و Leucovorin، 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 ۷ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.
تداخلات دیگر Glucarpidase
تداخلات دیگر Leucovorin
پرسشهای متداول
Can I take Glucarpidase with Leucovorin?
MediHelp rates the interaction as major. Glucarpidase and Leucovorin 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. Glucarpidase can hydrolyze leucovorin and its active metabolite, reducing rescue effect if given close together. Reduced rescue may worsen methotrexate toxicity.
How serious is the interaction between Glucarpidase and Leucovorin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give leucovorin within 2 hours before or after glucarpidase. Dose leucovorin on the basis of the methotrexate concentration measured by a chromatographic method.
What other medicines interact with Glucarpidase?
MediHelp also lists interactions of Glucarpidase with, for example, Folic acid, Methotrexate, Pemetrexed. The full list is on the Glucarpidase page.
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