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Interactions médicamenteuses

Mifepristone + Tisotumab vedotin

Gravité: Modérée

Mifepristone and Tisotumab vedotin: moderate interaction.

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Résumé

The cytotoxic payload MMAE of tisotumab vedotin is a CYP3A4 substrate, and a strong CYP3A4 inhibitor may increase its exposure. This could worsen toxicities such as neutropenia and neuropathy.

Ce que signifie cette interaction, en termes simples

Mifepristone and Tisotumab vedotin 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.

Mifepristone belongs to Endocrine; Tisotumab vedotin belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Mifepristone inhibits CYP3A4, reducing clearance of unconjugated MMAE released from the antibody-drug conjugate.

Conduite à tenir

Monitor for signs of tisotumab vedotin toxicity, including neutropenia, neuropathy and ocular effects. Consider an alternative to mifepristone when feasible.

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?

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 Mifepristone with Tisotumab vedotin?

MediHelp rates the interaction as moderate. Mifepristone and Tisotumab vedotin 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. The cytotoxic payload MMAE of tisotumab vedotin is a CYP3A4 substrate, and a strong CYP3A4 inhibitor may increase its exposure. This could worsen toxicities such as neutropenia and neuropathy.

How serious is the interaction between Mifepristone and Tisotumab vedotin?

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 for signs of tisotumab vedotin toxicity, including neutropenia, neuropathy and ocular effects. Consider an alternative to mifepristone when feasible.

What other medicines interact with Mifepristone?

MediHelp also lists interactions of Mifepristone with, for example, Apixaban, Argatroban, Cisapride. The full list is on the Mifepristone 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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