Interactions médicamenteuses
Etodolac + Pemetrexed
Gravité: Majeure
Etodolac and Pemetrexed: major interaction.
Dernière mise à jour Sources: Base de donnees publique des medicaments (France)
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Résumé
NSAIDs can raise pemetrexed exposure in patients with reduced kidney function, increasing the risk of myelosuppression, mucositis and renal and gastrointestinal toxicity. The risk is greatest in patients with mild to moderate renal impairment.
Ce que signifie cette interaction, en termes simples
Etodolac and Pemetrexed 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.
Etodolac belongs to Musculoskeletal; Pemetrexed belongs to Oncology.
Pourquoi elle survient
NSAID-related reduction in renal function and competition for tubular secretion decrease pemetrexed clearance.
Conduite à tenir
Avoid etodolac around pemetrexed dosing where possible and use an alternative analgesic. If it is needed, monitor blood counts and renal function and follow labeled NSAID interruption windows based on half-life.
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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Références
Autres interactions de Etodolac
- Etodolac + Ketorolac Contre-indiquée
- Etodolac + Ketorolac intranasal Contre-indiquée
- Aceclofenac + Etodolac Majeure
- Acemetacin + Etodolac Majeure
- Acetylsalicylic acid + Etodolac Majeure
- Alteplase + Etodolac Majeure
Autres interactions de Pemetrexed
- Bacitracin + Pemetrexed Majeure
- Brexucabtagene autoleucel + Pemetrexed Majeure
- Celecoxib + Pemetrexed Majeure
- Ciltacabtagene autoleucel + Pemetrexed Majeure
- Deferiprone + Pemetrexed Majeure
- Dengue vaccine + Pemetrexed Majeure
Questions fréquentes
Can I take Etodolac with Pemetrexed?
MediHelp rates the interaction as major. Etodolac and Pemetrexed 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. NSAIDs can raise pemetrexed exposure in patients with reduced kidney function, increasing the risk of myelosuppression, mucositis and renal and gastrointestinal toxicity. The risk is greatest in patients with mild to moderate renal impairment.
How serious is the interaction between Etodolac and Pemetrexed?
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 etodolac around pemetrexed dosing where possible and use an alternative analgesic. If it is needed, monitor blood counts and renal function and follow labeled NSAID interruption windows based on half-life.
What other medicines interact with Etodolac?
MediHelp also lists interactions of Etodolac with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Etodolac page.
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