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Interactions médicamenteuses

Bevacizumab + Doxorubicin

Gravité: Modérée

Bevacizumab and Doxorubicin: moderate interaction.

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Résumé

Both agents can impair cardiac function, and bevacizumab may add to anthracycline-related heart failure and left ventricular dysfunction. Bevacizumab also causes hypertension, which adds to cardiac strain. The risk is greater with higher cumulative anthracycline doses or prior cardiac disease.

Ce que signifie cette interaction, en termes simples

Bevacizumab and Doxorubicin 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.

Bevacizumab belongs to Oncology; Doxorubicin belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive cardiotoxicity through anthracycline myocardial injury and VEGF inhibition with associated hypertension.

Conduite à tenir

Assess baseline left ventricular ejection fraction and repeat periodically during treatment. Control blood pressure and track the cumulative doxorubicin dose.

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 Bevacizumab with Doxorubicin?

MediHelp rates the interaction as moderate. Bevacizumab and Doxorubicin 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. Both agents can impair cardiac function, and bevacizumab may add to anthracycline-related heart failure and left ventricular dysfunction. Bevacizumab also causes hypertension, which adds to cardiac strain. The risk is greater with higher cumulative anthracycline doses or prior cardiac disease.

How serious is the interaction between Bevacizumab and Doxorubicin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Assess baseline left ventricular ejection fraction and repeat periodically during treatment. Control blood pressure and track the cumulative doxorubicin dose.

What other medicines interact with Doxorubicin?

MediHelp also lists interactions of Doxorubicin with, for example, Adenovirus types 4 and 7 live, Belatacept, Cobicistat. The full list is on the Doxorubicin 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.

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