Interactions médicamenteuses
Ponesimod + Siponimod
Gravité: Contre-indiquée
Ponesimod and Siponimod: contraindicated interaction.
Dernière mise à jour
Réservé aux professionnels de santé — à titre de référence uniquement. Cette page est un bref résumé, pas un avis médical, et ne remplace ni la notice officielle ni le jugement clinique. Vérifiez toujours avant de prescrire ou de délivrer.
Le contenu clinique de cette page n'est disponible qu'en anglais.
Résumé
Both are sphingosine-1-phosphate receptor modulators with the same class effects, including heart rate reduction and immunosuppression. Using them together adds no established benefit and increases the risk of bradyarrhythmia and infection.
Ce que signifie cette interaction, en termes simples
Ponesimod and Siponimod are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Ponesimod belongs to Central Nervous System; Siponimod belongs to Central Nervous System.
Pourquoi elle survient
Duplicate S1P receptor modulation produces additive effects on heart rate, AV conduction and lymphocyte reduction.
Conduite à tenir
Do not combine these drugs. When switching between them, stop one and allow for its washout and lymphocyte recovery before starting the other, as advised in labeling.
Questions à poser à votre pharmacien
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
Réservé aux membres Pro+
Débloquer la page complète
Créez un compte et lancez un essai Pro+ pour débloquer les conseils complets de prise en charge pour Ponesimod et Siponimod, les notes complémentaires, le détail des données probantes et le vérificateur d'interactions pour une ordonnance complète.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Essayez Pro+ gratuitement pendant 14 jours sur le web. Sans carte.
Autres interactions de Siponimod
- Cladribine + Siponimod Contre-indiquée
- Fingolimod + Siponimod Contre-indiquée
- Fluconazole + Siponimod Contre-indiquée
- Influenza virus vaccine quadrivalent intranasal + Siponimod Contre-indiquée
- Siponimod + Thioridazine Contre-indiquée
- Adenovirus types 4 and 7 live + Siponimod Majeure
Autres interactions de Ponesimod
- Fingolimod + Ponesimod Contre-indiquée
- Amiodarone + Ponesimod Majeure
- Amisulpride + Ponesimod Majeure
- Anagrelide + Ponesimod Majeure
- Anti-thymocyte + Ponesimod Majeure
- Asenapine + Ponesimod Majeure
Questions fréquentes
Can I take Ponesimod with Siponimod?
MediHelp rates the interaction as contraindicated. Ponesimod and Siponimod are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Both are sphingosine-1-phosphate receptor modulators with the same class effects, including heart rate reduction and immunosuppression. Using them together adds no established benefit and increases the risk of bradyarrhythmia and infection.
How serious is the interaction between Ponesimod and Siponimod?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine these drugs. When switching between them, stop one and allow for its washout and lymphocyte recovery before starting the other, as advised in labeling.
What other medicines interact with Siponimod?
MediHelp also lists interactions of Siponimod with, for example, Cladribine, Fingolimod, Fluconazole. The full list is on the Siponimod page.
Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp
Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.
