Interactions médicamenteuses
Arsenic trioxide + Capecitabine
Gravité: Majeure
Arsenic trioxide and Capecitabine: major interaction.
Dernière mise à jour
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Résumé
Arsenic trioxide markedly prolongs the QT interval and can cause torsades de pointes. Fluorouracil-class drugs have rare reports of cardiotoxicity, so the combination adds uncertain additional risk on top of a high baseline risk.
Ce que signifie cette interaction, en termes simples
Arsenic trioxide and Capecitabine 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.
Arsenic trioxide belongs to Oncology; Capecitabine belongs to Oncology.
Pourquoi elle survient
Arsenic trioxide blocks cardiac repolarization currents; capecitabine contribution to QT effect is weak and not well established.
Conduite à tenir
Check baseline ECG and keep potassium and magnesium within normal range. Monitor ECG during treatment and avoid other QT-prolonging drugs.
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 Capecitabine
Autres interactions de Arsenic trioxide
- Amiodarone + Arsenic trioxide Contre-indiquée
- Amisulpride + Arsenic trioxide Contre-indiquée
- Arsenic trioxide + Clomipramine Contre-indiquée
- Arsenic trioxide + Dronedarone Contre-indiquée
- Arsenic trioxide + Fluphenazine Contre-indiquée
- Arsenic trioxide + Gemifloxacin Contre-indiquée
Questions fréquentes
Can I take Arsenic trioxide with Capecitabine?
MediHelp rates the interaction as major. Arsenic trioxide and Capecitabine 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. Arsenic trioxide markedly prolongs the QT interval and can cause torsades de pointes. Fluorouracil-class drugs have rare reports of cardiotoxicity, so the combination adds uncertain additional risk on top of a high baseline risk.
How serious is the interaction between Arsenic trioxide and Capecitabine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check baseline ECG and keep potassium and magnesium within normal range. Monitor ECG during treatment and avoid other QT-prolonging drugs.
What other medicines interact with Capecitabine?
MediHelp also lists interactions of Capecitabine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Brexucabtagene autoleucel. The full list is on the Capecitabine 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.
