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Interactions médicamenteuses

Gold sodium thiomalate + Penicillamine

Gravité: Majeure

Gold sodium thiomalate and Penicillamine: major interaction.

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Résumé

Both agents can cause bone marrow suppression and renal toxicity including proteinuria. Combined use increases the risk of serious haematologic and renal injury.

Ce que signifie cette interaction, en termes simples

Gold sodium thiomalate and Penicillamine 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.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive haematologic and nephrotoxic effects of two disease-modifying antirheumatic drugs.

Conduite à tenir

Avoid concurrent use; choose a different DMARD. If either is used sequentially, monitor blood counts and urinalysis regularly.

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 Gold sodium thiomalate with Penicillamine?

MediHelp rates the interaction as major. Gold sodium thiomalate and Penicillamine 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. Both agents can cause bone marrow suppression and renal toxicity including proteinuria. Combined use increases the risk of serious haematologic and renal injury.

How serious is the interaction between Gold sodium thiomalate and Penicillamine?

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 concurrent use; choose a different DMARD. If either is used sequentially, monitor blood counts and urinalysis regularly.

What other medicines interact with Penicillamine?

MediHelp also lists interactions of Penicillamine with, for example, Aluminum hydroxide, Calcium carbonate, Calcium. The full list is on the Penicillamine 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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