Interactions médicamenteuses
Ciprofloxacin + Cobimetinib
Gravité: Majeure
Ciprofloxacin and Cobimetinib: major interaction.
Dernière mise à jour
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Résumé
Cobimetinib is a CYP3A substrate, and ciprofloxacin is a moderate CYP3A inhibitor according to cobimetinib labeling. Co-use may raise cobimetinib exposure and increase its adverse effects, such as hemorrhage, rhabdomyolysis, liver toxicity and retinopathy.
Ce que signifie cette interaction, en termes simples
Ciprofloxacin and Cobimetinib 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.
Ciprofloxacin belongs to Anti Bacterial; Cobimetinib belongs to Oncology.
Pourquoi elle survient
Ciprofloxacin inhibits CYP3A4, reducing cobimetinib metabolism and raising its exposure.
Conduite à tenir
Prefer an alternative antibiotic. If a moderate CYP3A inhibitor is needed for 14 days or less, cobimetinib labeling recommends reducing the dose to 20 mg, and the usual dose is resumed after the inhibitor is stopped.
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 Ciprofloxacin
- Agomelatine + Ciprofloxacin Contre-indiquée
- Ciprofloxacin + Fezolinetant Contre-indiquée
- Ciprofloxacin + Thioridazine Contre-indiquée
- Ciprofloxacin + Tizanidine Contre-indiquée
- Ciprofloxacin + Vandetanib Contre-indiquée
- Alosetron + Ciprofloxacin Majeure
Autres interactions de Cobimetinib
- Cobimetinib + Efavirenz Contre-indiquée
- Cobimetinib + Posaconazole Contre-indiquée
- Amobarbital + Cobimetinib Majeure
- Apalutamide + Cobimetinib Majeure
- Aprepitant + Cobimetinib Majeure
- Bosentan + Cobimetinib Majeure
Questions fréquentes
Can I take Ciprofloxacin with Cobimetinib?
MediHelp rates the interaction as major. Ciprofloxacin and Cobimetinib 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. Cobimetinib is a CYP3A substrate, and ciprofloxacin is a moderate CYP3A inhibitor according to cobimetinib labeling. Co-use may raise cobimetinib exposure and increase its adverse effects, such as hemorrhage, rhabdomyolysis, liver toxicity and retinopathy.
How serious is the interaction between Ciprofloxacin and Cobimetinib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer an alternative antibiotic. If a moderate CYP3A inhibitor is needed for 14 days or less, cobimetinib labeling recommends reducing the dose to 20 mg, and the usual dose is resumed after the inhibitor is stopped.
What other medicines interact with Ciprofloxacin?
MediHelp also lists interactions of Ciprofloxacin with, for example, Agomelatine, Fezolinetant, Thioridazine. The full list is on the Ciprofloxacin page.
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