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تداخل‌های دارویی

Itraconazole + Venetoclax

شدت: منع مصرف

Itraconazole and Venetoclax: 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

Itraconazole increases venetoclax exposure and risks tumor lysis syndrome during dose initiation, as well as neutropenia and other toxicities. The risk is greatest during the ramp-up phase.

معنای این تداخل به زبان ساده

Itraconazole and Venetoclax 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.

Itraconazole belongs to Anti Fungals; Venetoclax belongs to Miscellaneous.

سطح شواهد: High

چرا رخ می‌دهد

Strong CYP3A4 inhibition (and P-glycoprotein inhibition) by itraconazole reduces venetoclax clearance.

اقدام لازم

Do not use during venetoclax initiation and ramp-up; after ramp-up, reduce the venetoclax dose by at least 75% per labeling and monitor for toxicity and blood counts.

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 Itraconazole و Venetoclax، 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 Itraconazole with Venetoclax?

MediHelp rates the interaction as contraindicated. Itraconazole and Venetoclax 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. Itraconazole increases venetoclax exposure and risks tumor lysis syndrome during dose initiation, as well as neutropenia and other toxicities. The risk is greatest during the ramp-up phase.

How serious is the interaction between Itraconazole and Venetoclax?

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 during venetoclax initiation and ramp-up; after ramp-up, reduce the venetoclax dose by at least 75% per labeling and monitor for toxicity and blood counts.

What other medicines interact with Itraconazole?

MediHelp also lists interactions of Itraconazole with, for example, Alfuzosin, Alprazolam, Avanafil. The full list is on the Itraconazole page.

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