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Interactions médicamenteuses

Dalfampridine + Trilaciclib

Gravité: Majeure

Dalfampridine and Trilaciclib: major interaction.

Dernière mise à jour

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Résumé

Dalfampridine is eliminated largely by active renal secretion through OCT2. Trilaciclib inhibits renal transporters, which may raise dalfampridine levels and increase the risk of seizures, a concentration-dependent toxicity.

Ce que signifie cette interaction, en termes simples

Dalfampridine and Trilaciclib 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.

Dalfampridine belongs to Central Nervous System; Trilaciclib belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Trilaciclib inhibits OCT2 and MATE transporters, reducing renal secretion of dalfampridine.

Conduite à tenir

Avoid the combination where possible, and weigh the benefit of trilaciclib against seizure risk. If used together, monitor for neurological symptoms, especially in patients with renal impairment or seizure history.

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 Dalfampridine with Trilaciclib?

MediHelp rates the interaction as major. Dalfampridine and Trilaciclib 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. Dalfampridine is eliminated largely by active renal secretion through OCT2. Trilaciclib inhibits renal transporters, which may raise dalfampridine levels and increase the risk of seizures, a concentration-dependent toxicity.

How serious is the interaction between Dalfampridine and Trilaciclib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible, and weigh the benefit of trilaciclib against seizure risk. If used together, monitor for neurological symptoms, especially in patients with renal impairment or seizure history.

What other medicines interact with Dalfampridine?

MediHelp also lists interactions of Dalfampridine with, for example, Alogliptin-metformin, Canagliflozin-metformin, Dapagliflozin-metformin. The full list is on the Dalfampridine page.

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