Aller au contenu
MediHelp
MediHelp Référence médicamenteuse

Interactions médicamenteuses

Apalutamide + Tofacitinib

Gravité: Majeure

Apalutamide and Tofacitinib: major interaction.

Dernière mise à jour

Réservé aux professionnels de santé — à titre de référence uniquement. Cette page est un bref résumé, pas un avis médical, et ne remplace ni la notice officielle ni le jugement clinique. Vérifiez toujours avant de prescrire ou de délivrer.

Le contenu clinique de cette page n'est disponible qu'en anglais.

Résumé

Apalutamide is a strong inducer of CYP3A4 and CYP2C19, the enzymes that clear tofacitinib. Exposure to tofacitinib may fall and its therapeutic effect may be reduced.

Ce que signifie cette interaction, en termes simples

Apalutamide and Tofacitinib 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.

Apalutamide belongs to Endocrine; Tofacitinib belongs to Musculoskeletal.

Niveau de preuve: Moderate

Pourquoi elle survient

Induction of CYP3A4 and CYP2C19 increases the metabolism of tofacitinib.

Conduite à tenir

Avoid the combination where possible and choose an alternative. If it cannot be avoided, monitor for loss of tofacitinib efficacy and adjust therapy accordingly.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Réservé aux membres Pro+

Débloquer la page complète

Créez un compte et lancez un essai Pro+ pour débloquer les conseils complets de prise en charge pour Apalutamide et Tofacitinib, les notes complémentaires, le détail des données probantes et le vérificateur d'interactions pour une ordonnance complète.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription
Créer un compte gratuit Se connecter

Essayez Pro+ gratuitement pendant 14 jours sur le web. Sans carte.

Questions fréquentes

Can I take Apalutamide with Tofacitinib?

MediHelp rates the interaction as major. Apalutamide and Tofacitinib 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. Apalutamide is a strong inducer of CYP3A4 and CYP2C19, the enzymes that clear tofacitinib. Exposure to tofacitinib may fall and its therapeutic effect may be reduced.

How serious is the interaction between Apalutamide and Tofacitinib?

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 where possible and choose an alternative. If it cannot be avoided, monitor for loss of tofacitinib efficacy and adjust therapy accordingly.

What other medicines interact with Tofacitinib?

MediHelp also lists interactions of Tofacitinib with, for example, Baricitinib, Cladribine, Upadacitinib. The full list is on the Tofacitinib page.

Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp

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

Télécharger surApp Store Disponible surGoogle Play

Parcourir de A à Z · Interactions médicamenteuses

Télécharger l'app Se connecter