Interactions médicamenteuses
Axicabtagene ciloleucel + Baricitinib
Gravité: Majeure
Axicabtagene ciloleucel and Baricitinib: major interaction.
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Résumé
Baricitinib may impair CAR T-cell expansion and function and adds to infection risk after lymphodepleting therapy. This may reduce the efficacy of the cell product.
Ce que signifie cette interaction, en termes simples
Axicabtagene ciloleucel and Baricitinib 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.
Axicabtagene ciloleucel belongs to Oncology; Baricitinib belongs to Musculoskeletal.
Pourquoi elle survient
JAK inhibition suppresses T-cell activation and proliferation, potentially blunting CAR T-cell activity.
Conduite à tenir
Avoid baricitinib around leukapheresis and CAR T infusion unless essential. Coordinate with the oncology team and monitor for infection.
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 Baricitinib
- Adenovirus types 4 and 7 live + Baricitinib Contre-indiquée
- Baricitinib + Bcg vaccine live Contre-indiquée
- Baricitinib + Tofacitinib Contre-indiquée
- Baricitinib + Upadacitinib Contre-indiquée
- Abatacept + Baricitinib Majeure
- Adalimumab + Baricitinib Majeure
Autres interactions de Axicabtagene ciloleucel
Questions fréquentes
Can I take Axicabtagene ciloleucel with Baricitinib?
MediHelp rates the interaction as major. Axicabtagene ciloleucel and Baricitinib 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. Baricitinib may impair CAR T-cell expansion and function and adds to infection risk after lymphodepleting therapy. This may reduce the efficacy of the cell product.
How serious is the interaction between Axicabtagene ciloleucel and Baricitinib?
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 baricitinib around leukapheresis and CAR T infusion unless essential. Coordinate with the oncology team and monitor for infection.
What other medicines interact with Baricitinib?
MediHelp also lists interactions of Baricitinib with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Tofacitinib. The full list is on the Baricitinib 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.
