दवाओं की अंतःक्रिया
Clarithromycin + Venetoclax
गंभीरता: निषिद्ध
Clarithromycin and Venetoclax: contraindicated 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
Clarithromycin increases venetoclax exposure through CYP3A4 and P-glycoprotein inhibition. During initiation and dose ramp-up this increases the risk of tumor lysis syndrome and neutropenia. After ramp-up, strong inhibitors require a major venetoclax dose reduction.
इस इंटरैक्शन का सरल भाषा में अर्थ
Clarithromycin and Venetoclax 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.
Clarithromycin belongs to Anti Bacterial; Venetoclax belongs to Miscellaneous.
ऐसा क्यों होता है
Inhibition of CYP3A4 and P-glycoprotein reduces venetoclax clearance and increases absorption.
क्या करें
Do not use during venetoclax initiation or ramp-up; use an alternative antibiotic. After ramp-up, if unavoidable, reduce the venetoclax dose by at least 75% and monitor for toxicity and blood counts.
फार्मासिस्ट से क्या पूछें
- 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?
Pro+ सदस्यों के लिए
पूरा पेज खोलें
Clarithromycin और Venetoclax 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 7 दिन मुफ़्त आज़माएँ। कार्ड की ज़रूरत नहीं।
Clarithromycin के अन्य इंटरैक्शन
- Astemizole + Clarithromycin निषिद्ध
- Avanafil + Clarithromycin निषिद्ध
- Cisapride + Clarithromycin निषिद्ध
- Clarithromycin + Colchicine निषिद्ध
- Clarithromycin + Conivaptan निषिद्ध
- Clarithromycin + Dihydroergotamine निषिद्ध
Venetoclax के अन्य इंटरैक्शन
- Itraconazole + Venetoclax निषिद्ध
- Ketoconazole + Venetoclax निषिद्ध
- Posaconazole + Venetoclax निषिद्ध
- Venetoclax + Voriconazole निषिद्ध
- Amiodarone + Venetoclax गंभीर
- Apalutamide + Venetoclax गंभीर
अक्सर पूछे जाने वाले प्रश्न
Can I take Clarithromycin with Venetoclax?
MediHelp rates the interaction as contraindicated. Clarithromycin and Venetoclax 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. Clarithromycin increases venetoclax exposure through CYP3A4 and P-glycoprotein inhibition. During initiation and dose ramp-up this increases the risk of tumor lysis syndrome and neutropenia. After ramp-up, strong inhibitors require a major venetoclax dose reduction.
How serious is the interaction between Clarithromycin and Venetoclax?
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 use during venetoclax initiation or ramp-up; use an alternative antibiotic. After ramp-up, if unavoidable, reduce the venetoclax dose by at least 75% and monitor for toxicity and blood counts.
What other medicines interact with Clarithromycin?
MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin 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।
