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Interactions médicamenteuses

Azathioprine + Valoctocogene roxaparvovec

Gravité: Modérée

Azathioprine and Valoctocogene roxaparvovec: moderate interaction.

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Résumé

Valoctocogene roxaparvovec commonly causes ALT elevations, and azathioprine can independently injure the liver. Concurrent use may increase the risk or severity of liver enzyme elevations and could confound their interpretation.

Ce que signifie cette interaction, en termes simples

Azathioprine and Valoctocogene roxaparvovec can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Azathioprine belongs to Gastrointestinal Tract; Valoctocogene roxaparvovec belongs to Miscellaneous.

Niveau de preuve: Low

Pourquoi elle survient

Additive hepatotoxicity from the gene therapy's hepatic transduction and immune response and azathioprine's hepatotoxic potential.

Conduite à tenir

Monitor liver enzymes closely, as recommended after gene therapy, and consider alternatives to azathioprine where possible. Evaluate promptly for the need for corticosteroids if ALT rises.

Questions à poser à votre pharmacien

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Azathioprine with Valoctocogene roxaparvovec?

MediHelp rates the interaction as moderate. Azathioprine and Valoctocogene roxaparvovec can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Valoctocogene roxaparvovec commonly causes ALT elevations, and azathioprine can independently injure the liver. Concurrent use may increase the risk or severity of liver enzyme elevations and could confound their interpretation.

How serious is the interaction between Azathioprine and Valoctocogene roxaparvovec?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor liver enzymes closely, as recommended after gene therapy, and consider alternatives to azathioprine where possible. Evaluate promptly for the need for corticosteroids if ALT rises.

What other medicines interact with Azathioprine?

MediHelp also lists interactions of Azathioprine with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Febuxostat. The full list is on the Azathioprine page.

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