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Interactions médicamenteuses

Apalutamide + Raloxifene

Gravité: Modérée

Apalutamide and Raloxifene: moderate interaction.

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Résumé

Apalutamide is an inducer of UGT enzymes and CYP3A4, and raloxifene is cleared mainly by glucuronidation. Raloxifene exposure may fall and its effect may be reduced.

Ce que signifie cette interaction, en termes simples

Apalutamide and Raloxifene 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.

Apalutamide belongs to Endocrine; Raloxifene belongs to Endocrine.

Niveau de preuve: Low

Pourquoi elle survient

Apalutamide induces UGT-mediated glucuronidation, increasing raloxifene clearance.

Conduite à tenir

Monitor for reduced raloxifene efficacy, and consider an alternative bone-protective agent if this is a concern.

Questions à poser à votre pharmacien

  • 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.

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Questions fréquentes

Can I take Apalutamide with Raloxifene?

MediHelp rates the interaction as moderate. Apalutamide and Raloxifene 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. Apalutamide is an inducer of UGT enzymes and CYP3A4, and raloxifene is cleared mainly by glucuronidation. Raloxifene exposure may fall and its effect may be reduced.

How serious is the interaction between Apalutamide and Raloxifene?

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 for reduced raloxifene efficacy, and consider an alternative bone-protective agent if this is a concern.

What other medicines interact with Raloxifene?

MediHelp also lists interactions of Raloxifene with, for example, Cholestyramine, Ospemifene, Levothyroxine. The full list is on the Raloxifene page.

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