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Interactions médicamenteuses

Apalutamide + Ranolazine

Gravité: Contre-indiquée

Apalutamide and Ranolazine: contraindicated interaction.

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Résumé

Apalutamide is a strong CYP3A4 inducer and is expected to markedly reduce ranolazine exposure. Antianginal benefit may be lost.

Ce que signifie cette interaction, en termes simples

Apalutamide and Ranolazine 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.

Apalutamide belongs to Endocrine; Ranolazine belongs to Cardiovascular.

Niveau de preuve: Moderate

Pourquoi elle survient

Induction of CYP3A4 and P-gp accelerating ranolazine metabolism.

Conduite à tenir

Avoid concurrent use, as ranolazine labeling contraindicates strong CYP3A inducers. Use another antianginal during apalutamide therapy.

Questions à poser à votre pharmacien

  • 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.

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Questions fréquentes

Can I take Apalutamide with Ranolazine?

MediHelp rates the interaction as contraindicated. Apalutamide and Ranolazine 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. Apalutamide is a strong CYP3A4 inducer and is expected to markedly reduce ranolazine exposure. Antianginal benefit may be lost.

How serious is the interaction between Apalutamide and Ranolazine?

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 concurrent use, as ranolazine labeling contraindicates strong CYP3A inducers. Use another antianginal during apalutamide therapy.

What other medicines interact with Ranolazine?

MediHelp also lists interactions of Ranolazine with, for example, Adagrasib, Amobarbital, Butabarbital. The full list is on the Ranolazine page.

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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