दवाओं की अंतःक्रिया
Clarithromycin + Vincristine
गंभीरता: गंभीर
Clarithromycin and Vincristine: 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
Clarithromycin can raise vincristine levels and increase the risk of severe neurotoxicity, including neuropathy, ileus and seizures. Cases of enhanced toxicity have been described with strong CYP3A4 inhibitors.
इस इंटरैक्शन का सरल भाषा में अर्थ
Clarithromycin and Vincristine 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.
Clarithromycin belongs to Anti Bacterial; Vincristine belongs to Oncology.
ऐसा क्यों होता है
Inhibition of CYP3A4 metabolism and P-glycoprotein efflux of vincristine by clarithromycin.
क्या करें
Avoid concomitant use and choose an alternative antibiotic such as azithromycin. If it cannot be avoided, monitor closely for neuropathy, constipation and CNS toxicity.
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
Clarithromycin और Vincristine 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
Vincristine के अन्य इंटरैक्शन
अक्सर पूछे जाने वाले प्रश्न
Can I take Clarithromycin with Vincristine?
MediHelp rates the interaction as major. Clarithromycin and Vincristine 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. Clarithromycin can raise vincristine levels and increase the risk of severe neurotoxicity, including neuropathy, ileus and seizures. Cases of enhanced toxicity have been described with strong CYP3A4 inhibitors.
How serious is the interaction between Clarithromycin and Vincristine?
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 concomitant use and choose an alternative antibiotic such as azithromycin. If it cannot be avoided, monitor closely for neuropathy, constipation and CNS toxicity.
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।
