दवाओं की अंतःक्रिया
Nelarabine + Tofacitinib
गंभीरता: गंभीर
Nelarabine and Tofacitinib: 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
Nelarabine is a cytotoxic, immunosuppressive and myelosuppressive agent, and combining it with tofacitinib adds to the risk of serious infection and cytopenias. Neurotoxicity from nelarabine remains a separate concern.
इस इंटरैक्शन का सरल भाषा में अर्थ
Nelarabine and Tofacitinib 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.
Nelarabine belongs to Oncology; Tofacitinib belongs to Musculoskeletal.
ऐसा क्यों होता है
Additive immunosuppression and myelosuppression from JAK inhibition plus cytotoxic purine analog therapy.
क्या करें
Avoid concurrent use where possible and hold tofacitinib during cytotoxic chemotherapy. If used together, monitor blood counts and signs of infection closely.
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
Nelarabine और Tofacitinib 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।
Tofacitinib के अन्य इंटरैक्शन
Nelarabine के अन्य इंटरैक्शन
- Deferiprone + Nelarabine गंभीर
- Nelarabine + Pentostatin गंभीर
- Nelarabine + Siponimod गंभीर
- Denosumab + Nelarabine मध्यम
- Fingolimod + Nelarabine मध्यम
- Hydroxyurea + Nelarabine मध्यम
अक्सर पूछे जाने वाले प्रश्न
Can I take Nelarabine with Tofacitinib?
MediHelp rates the interaction as major. Nelarabine and Tofacitinib 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. Nelarabine is a cytotoxic, immunosuppressive and myelosuppressive agent, and combining it with tofacitinib adds to the risk of serious infection and cytopenias. Neurotoxicity from nelarabine remains a separate concern.
How serious is the interaction between Nelarabine and Tofacitinib?
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 concurrent use where possible and hold tofacitinib during cytotoxic chemotherapy. If used together, monitor blood counts and signs of infection closely.
What other medicines interact with Tofacitinib?
MediHelp also lists interactions of Tofacitinib with, for example, Baricitinib, Cladribine, Upadacitinib. The full list is on the Tofacitinib 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।
