Interactions médicamenteuses
Anagrelide + Ivosidenib
Gravité: Majeure
Anagrelide and Ivosidenib: major interaction.
Dernière mise à jour
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Résumé
Ivosidenib is associated with QT prolongation, and anagrelide has a similar effect, so the combination may increase the risk of torsades de pointes. The legacy description of a QT decrease is not consistent with the known effects of either drug.
Ce que signifie cette interaction, en termes simples
Anagrelide and Ivosidenib 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.
Anagrelide belongs to Cardiovascular; Ivosidenib belongs to Oncology.
Pourquoi elle survient
Additive pharmacodynamic QT prolongation; ivosidenib is also a CYP3A4 inducer, which may lower anagrelide exposure.
Conduite à tenir
Avoid the combination if possible. If used together, monitor ECG and electrolytes regularly and reduce or stop therapy if QTc becomes markedly prolonged.
Questions à poser à votre pharmacien
- 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?
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Autres interactions de Anagrelide
- Anagrelide + Panobinostat Contre-indiquée
- Anagrelide + Pimozide Contre-indiquée
- Anagrelide + Thioridazine Contre-indiquée
- Anagrelide + Vandetanib Contre-indiquée
- Abrocitinib + Anagrelide Majeure
- Alfuzosin + Anagrelide Majeure
Autres interactions de Ivosidenib
- Alfuzosin + Ivosidenib Majeure
- Amiodarone + Ivosidenib Majeure
- Amisulpride + Ivosidenib Majeure
- Amitriptyline + Ivosidenib Majeure
- Amobarbital + Ivosidenib Majeure
- Apalutamide + Ivosidenib Majeure
Questions fréquentes
Can I take Anagrelide with Ivosidenib?
MediHelp rates the interaction as major. Anagrelide and Ivosidenib 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. Ivosidenib is associated with QT prolongation, and anagrelide has a similar effect, so the combination may increase the risk of torsades de pointes. The legacy description of a QT decrease is not consistent with the known effects of either drug.
How serious is the interaction between Anagrelide and Ivosidenib?
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 used together, monitor ECG and electrolytes regularly and reduce or stop therapy if QTc becomes markedly prolonged.
What other medicines interact with Anagrelide?
MediHelp also lists interactions of Anagrelide with, for example, Panobinostat, Pimozide, Thioridazine. The full list is on the Anagrelide page.
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