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Leucovorin + Phenytoin

شدت: متوسط

Leucovorin and Phenytoin: moderate interaction.

آخرین به‌روزرسانی

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خلاصه

Folinic acid may reduce phenytoin levels and anticonvulsant effect, raising the risk of breakthrough seizures. Folate also has been reported to lower phenytoin concentrations.

معنای این تداخل به زبان ساده

Leucovorin and Phenytoin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Leucovorin belongs to Miscellaneous; Phenytoin belongs to Central Nervous System.

سطح شواهد: Moderate

چرا رخ می‌دهد

Folate may increase phenytoin metabolism; a pro-convulsant effect has also been proposed.

اقدام لازم

Monitor seizure control and phenytoin plasma concentrations during and after leucovorin treatment, adjusting the dose as needed.

از داروساز چه بپرسید

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Leucovorin و Phenytoin، 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.

پرسش‌های متداول

Can I take Leucovorin with Phenytoin?

MediHelp rates the interaction as moderate. Leucovorin and Phenytoin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Folinic acid may reduce phenytoin levels and anticonvulsant effect, raising the risk of breakthrough seizures. Folate also has been reported to lower phenytoin concentrations.

How serious is the interaction between Leucovorin and Phenytoin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor seizure control and phenytoin plasma concentrations during and after leucovorin treatment, adjusting the dose as needed.

What other medicines interact with Leucovorin?

MediHelp also lists interactions of Leucovorin with, for example, Capecitabine, Fluorouracil, Glucarpidase. The full list is on the Leucovorin page.

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