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Interactions médicamenteuses

Atidarsagene autotemcel + Dolutegravir

Gravité: Majeure

Atidarsagene autotemcel and Dolutegravir: major interaction.

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Résumé

Antiretroviral drugs can interfere with manufacture of this lentiviral gene therapy by inhibiting transduction. Dolutegravir, an integrase inhibitor, may compromise product quality if present at apheresis.

Ce que signifie cette interaction, en termes simples

Atidarsagene autotemcel and Dolutegravir 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.

Atidarsagene autotemcel belongs to Miscellaneous; Dolutegravir belongs to Anti Virals.

Niveau de preuve: Moderate

Pourquoi elle survient

Antiretroviral activity inhibits lentiviral vector transduction of harvested cells.

Conduite à tenir

Stop dolutegravir at least one month before mobilization, allowing for elimination, and keep it off through apheresis. Arrange interim HIV management with specialists.

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 Atidarsagene autotemcel with Dolutegravir?

MediHelp rates the interaction as major. Atidarsagene autotemcel and Dolutegravir 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. Antiretroviral drugs can interfere with manufacture of this lentiviral gene therapy by inhibiting transduction. Dolutegravir, an integrase inhibitor, may compromise product quality if present at apheresis.

How serious is the interaction between Atidarsagene autotemcel and Dolutegravir?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Stop dolutegravir at least one month before mobilization, allowing for elimination, and keep it off through apheresis. Arrange interim HIV management with specialists.

What other medicines interact with Dolutegravir?

MediHelp also lists interactions of Dolutegravir with, for example, Dofetilide, Aluminum hydroxide, Betibeglogene autotemcel. The full list is on the Dolutegravir page.

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