Interactions médicamenteuses
Axicabtagene ciloleucel + Tofacitinib
Gravité: Majeure
Axicabtagene ciloleucel and Tofacitinib: major interaction.
Dernière mise à jour
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Résumé
Tofacitinib's immunosuppression may impair CAR-T expansion and efficacy, and adds to the infection risk that follows lymphodepletion and CAR-T therapy. Prior use of immunosuppressants is generally minimized around infusion.
Ce que signifie cette interaction, en termes simples
Axicabtagene ciloleucel 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.
Axicabtagene ciloleucel belongs to Oncology; Tofacitinib belongs to Musculoskeletal.
Pourquoi elle survient
JAK inhibition suppresses T-cell signalling and may reduce CAR-T activity, with additive immunosuppression.
Conduite à tenir
Hold tofacitinib around leukapheresis and infusion as advised by the treating team. Monitor closely 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 Tofacitinib
- Baricitinib + Tofacitinib Contre-indiquée
- Cladribine + Tofacitinib Contre-indiquée
- Tofacitinib + Upadacitinib Contre-indiquée
- Abatacept + Tofacitinib Majeure
- Anti-thymocyte + Tofacitinib Majeure
- Antithymocyte globulin equine + Tofacitinib Majeure
Autres interactions de Axicabtagene ciloleucel
Questions fréquentes
Can I take Axicabtagene ciloleucel with Tofacitinib?
MediHelp rates the interaction as major. Axicabtagene ciloleucel 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. Tofacitinib's immunosuppression may impair CAR-T expansion and efficacy, and adds to the infection risk that follows lymphodepletion and CAR-T therapy. Prior use of immunosuppressants is generally minimized around infusion.
How serious is the interaction between Axicabtagene ciloleucel 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: Hold tofacitinib around leukapheresis and infusion as advised by the treating team. Monitor closely for infection.
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.
