Interactions médicamenteuses
Irinotecan + Telotristat etiprate
Gravité: Modérée
Irinotecan and Telotristat etiprate: moderate interaction.
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Résumé
Irinotecan is converted to its active metabolite SN-38 by carboxylesterases, and telotristat's metabolite may inhibit CES2. This could reduce activation and efficacy, or alter toxicity, though clinical data are lacking.
Ce que signifie cette interaction, en termes simples
Irinotecan and Telotristat etiprate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Irinotecan belongs to Oncology; Telotristat etiprate belongs to Gastrointestinal Tract.
Pourquoi elle survient
Carboxylesterase 2 inhibition may reduce conversion of irinotecan to SN-38.
Conduite à tenir
Monitor tumour response and for diarrhoea and neutropenia during co-administration.
Questions à poser à votre pharmacien
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Autres interactions de Telotristat etiprate
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Questions fréquentes
Can I take Irinotecan with Telotristat etiprate?
MediHelp rates the interaction as moderate. Irinotecan and Telotristat etiprate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Irinotecan is converted to its active metabolite SN-38 by carboxylesterases, and telotristat's metabolite may inhibit CES2. This could reduce activation and efficacy, or alter toxicity, though clinical data are lacking.
How serious is the interaction between Irinotecan and Telotristat etiprate?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor tumour response and for diarrhoea and neutropenia during co-administration.
What other medicines interact with Telotristat etiprate?
MediHelp also lists interactions of Telotristat etiprate with, for example, Bupropion, Capecitabine, Everolimus. The full list is on the Telotristat etiprate page.
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