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MediHelp Référence médicamenteuse

Interactions médicamenteuses

Baricitinib + Probenecid

Gravité: Majeure

Baricitinib and Probenecid: major interaction.

Dernière mise à jour

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Résumé

Probenecid inhibits renal organic anion transporter 3, which helps clear baricitinib into urine. Baricitinib exposure rises, which may increase dose-related adverse effects such as infection, cytopenias and lipid changes.

Ce que signifie cette interaction, en termes simples

Baricitinib and Probenecid 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 belongs to Musculoskeletal; Probenecid belongs to Genitourinary.

Niveau de preuve: High

Pourquoi elle survient

Inhibition of OAT3-mediated renal tubular secretion of baricitinib reduces its elimination.

Conduite à tenir

Baricitinib labeling advises against using it with strong OAT3 inhibitors such as probenecid; if unavoidable, reduce the baricitinib dose as per labeling. Monitor for infection and hematologic abnormalities.

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 Baricitinib with Probenecid?

MediHelp rates the interaction as major. Baricitinib and Probenecid 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. Probenecid inhibits renal organic anion transporter 3, which helps clear baricitinib into urine. Baricitinib exposure rises, which may increase dose-related adverse effects such as infection, cytopenias and lipid changes.

How serious is the interaction between Baricitinib and Probenecid?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Baricitinib labeling advises against using it with strong OAT3 inhibitors such as probenecid; if unavoidable, reduce the baricitinib dose as per labeling. Monitor for infection and hematologic abnormalities.

What other medicines interact with Probenecid?

MediHelp also lists interactions of Probenecid with, for example, Ketorolac intranasal, Ketorolac, Ceftazidime / avibactam. The full list is on the Probenecid page.

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