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Interactions médicamenteuses

Chloramphenicol + Erdafitinib

Gravité: Majeure

Chloramphenicol and Erdafitinib: major interaction.

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Résumé

Erdafitinib is metabolized by CYP2C9 and CYP3A4, and inhibition of these pathways can raise its exposure. This may increase hyperphosphatemia, ocular and dermatologic toxicity, and stomatitis.

Ce que signifie cette interaction, en termes simples

Chloramphenicol and Erdafitinib 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.

Chloramphenicol belongs to Anti Bacterial; Erdafitinib belongs to Oncology.

Niveau de preuve: Low

Pourquoi elle survient

Chloramphenicol inhibits CYP3A4 and CYP2C9, reducing erdafitinib clearance.

Conduite à tenir

Use an alternative antibiotic if possible. If coadministered, monitor closely for adverse reactions and consider reducing the erdafitinib dose, and re-escalate after the inhibitor is stopped if no toxicity.

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 Chloramphenicol with Erdafitinib?

MediHelp rates the interaction as major. Chloramphenicol and Erdafitinib 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. Erdafitinib is metabolized by CYP2C9 and CYP3A4, and inhibition of these pathways can raise its exposure. This may increase hyperphosphatemia, ocular and dermatologic toxicity, and stomatitis.

How serious is the interaction between Chloramphenicol and Erdafitinib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use an alternative antibiotic if possible. If coadministered, monitor closely for adverse reactions and consider reducing the erdafitinib dose, and re-escalate after the inhibitor is stopped if no toxicity.

What other medicines interact with Chloramphenicol?

MediHelp also lists interactions of Chloramphenicol with, for example, Adagrasib, Avapritinib, Bcg vaccine live. The full list is on the Chloramphenicol page.

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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