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Interactions médicamenteuses

Aprepitant + Olaparib

Gravité: Majeure

Aprepitant and Olaparib: major interaction.

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Résumé

Aprepitant is a moderate CYP3A4 inhibitor and can raise olaparib plasma concentrations. Higher exposure may increase olaparib toxicities such as anemia, nausea and fatigue.

Ce que signifie cette interaction, en termes simples

Aprepitant and Olaparib 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.

Aprepitant belongs to Gastrointestinal Tract; Olaparib belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Aprepitant inhibits CYP3A4-mediated metabolism of olaparib, increasing its exposure.

Conduite à tenir

Avoid the combination if possible; if it is required, reduce the olaparib dose as stated in its labeling for moderate CYP3A inhibitors. Monitor for hematologic toxicity and GI effects.

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.

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Questions fréquentes

Can I take Aprepitant with Olaparib?

MediHelp rates the interaction as major. Aprepitant and Olaparib 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. Aprepitant is a moderate CYP3A4 inhibitor and can raise olaparib plasma concentrations. Higher exposure may increase olaparib toxicities such as anemia, nausea and fatigue.

How serious is the interaction between Aprepitant and Olaparib?

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 it is required, reduce the olaparib dose as stated in its labeling for moderate CYP3A inhibitors. Monitor for hematologic toxicity and GI effects.

What other medicines interact with Aprepitant?

MediHelp also lists interactions of Aprepitant with, for example, Lomitapide, Pimozide, Avapritinib. The full list is on the Aprepitant 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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