दवाओं की अंतःक्रिया
Cimetidine + Dasatinib
गंभीरता: गंभीर
Cimetidine and Dasatinib: major interaction.
अंतिम अपडेट
केवल स्वास्थ्य पेशेवरों के लिए — मात्र संदर्भ हेतु। यह पृष्ठ संक्षिप्त सारांश है, चिकित्सकीय सलाह नहीं है और आधिकारिक लेबल या नैदानिक निर्णय का विकल्प नहीं है। दवा लिखने या देने से पहले हमेशा जाँच करें।
इस पृष्ठ की नैदानिक सामग्री केवल अंग्रेज़ी में उपलब्ध है।
सारांश
Cimetidine can raise dasatinib exposure through CYP3A4 inhibition, but as an H2 blocker it also lowers gastric acidity, which reduces dasatinib absorption because its solubility depends on acid. The net effect is unpredictable and may result in either toxicity or reduced efficacy.
इस इंटरैक्शन का सरल भाषा में अर्थ
Cimetidine and Dasatinib 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.
Cimetidine belongs to Gastrointestinal Tract; Dasatinib belongs to Oncology.
ऐसा क्यों होता है
Weak CYP3A4 inhibition by cimetidine may increase dasatinib levels, while the rise in gastric pH decreases dasatinib dissolution and absorption.
क्या करें
Avoid H2 blockers with dasatinib; use an antacid given at least 2 hours before or after dasatinib if acid suppression is needed. Monitor response and toxicity if combination cannot be avoided.
फार्मासिस्ट से क्या पूछें
- 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?
Pro+ सदस्यों के लिए
पूरा पेज खोलें
Cimetidine और Dasatinib की पूरी प्रबंधन सलाह, अतिरिक्त नोट्स, साक्ष्य का विवरण और पूरे पर्चे का इंटरैक्शन चेकर खोलने के लिए खाता बनाएँ और Pro+ ट्रायल शुरू करें।
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
वेब पर Pro+ को 14 दिन मुफ़्त आज़माएँ। कार्ड की ज़रूरत नहीं।
Cimetidine के अन्य इंटरैक्शन
- Cimetidine + Dofetilide निषिद्ध
- Cimetidine + Fezolinetant निषिद्ध
- Alfentanil + Cimetidine गंभीर
- Atazanavir + Cimetidine गंभीर
- Carmustine + Cimetidine गंभीर
- Cimetidine + Citalopram गंभीर
Dasatinib के अन्य इंटरैक्शन
- Dasatinib + Saquinavir निषिद्ध
- Dasatinib + Thioridazine निषिद्ध
- Adagrasib + Dasatinib गंभीर
- Amiodarone + Dasatinib गंभीर
- Amisulpride + Dasatinib गंभीर
- Amitriptyline + Dasatinib गंभीर
अक्सर पूछे जाने वाले प्रश्न
Can I take Cimetidine with Dasatinib?
MediHelp rates the interaction as major. Cimetidine and Dasatinib 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. Cimetidine can raise dasatinib exposure through CYP3A4 inhibition, but as an H2 blocker it also lowers gastric acidity, which reduces dasatinib absorption because its solubility depends on acid. The net effect is unpredictable and may result in either toxicity or reduced efficacy.
How serious is the interaction between Cimetidine and Dasatinib?
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 H2 blockers with dasatinib; use an antacid given at least 2 hours before or after dasatinib if acid suppression is needed. Monitor response and toxicity if combination cannot be avoided.
What other medicines interact with Cimetidine?
MediHelp also lists interactions of Cimetidine with, for example, Dofetilide, Fezolinetant, Alfentanil. The full list is on the Cimetidine page.
MediHelp ऐप में पूर्ण मोनोग्राफ़, खुराक और इंटरैक्शन चेकर
MediHelp ऐप में पूरा संदर्भ खोलें, कई दवाओं की अंतःक्रियाएँ जाँचें और खुराक टूल इस्तेमाल करें।
