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Ketoconazole + Venetoclax

شدت: منع مصرف

Ketoconazole 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

Ketoconazole markedly raises venetoclax exposure, increasing the risk of tumor lysis syndrome and neutropenia. It is contraindicated during the initial ramp-up phase.

معنای این تداخل به زبان ساده

Ketoconazole 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.

Ketoconazole belongs to Anti Fungals; Venetoclax belongs to Miscellaneous.

سطح شواهد: High

چرا رخ می‌دهد

Strong CYP3A4 inhibition (and P-gp inhibition) reduces venetoclax clearance.

اقدام لازم

Avoid during ramp-up. After ramp-up, reduce the venetoclax dose by at least 75% and monitor for toxicity.

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 Ketoconazole 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 Ketoconazole with Venetoclax?

MediHelp rates the interaction as contraindicated. Ketoconazole 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. Ketoconazole markedly raises venetoclax exposure, increasing the risk of tumor lysis syndrome and neutropenia. It is contraindicated during the initial ramp-up phase.

How serious is the interaction between Ketoconazole 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: Avoid during ramp-up. After ramp-up, reduce the venetoclax dose by at least 75% and monitor for toxicity.

What other medicines interact with Ketoconazole?

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

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