Interazioni tra farmaci
Azathioprine + Trastuzumab deruxtecan
Gravità: Maggiore
Azathioprine and Trastuzumab deruxtecan: major interaction.
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Sintesi
Trastuzumab deruxtecan commonly causes neutropenia, and azathioprine also suppresses marrow and immune function. Together they may increase the risk of severe neutropenia and infection.
Cosa significa questa interazione in parole semplici
Azathioprine and Trastuzumab deruxtecan 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.
Azathioprine belongs to Gastrointestinal Tract; Trastuzumab deruxtecan belongs to Oncology.
Perché avviene
Additive myelosuppression and immunosuppression from the cytotoxic topoisomerase I inhibitor payload and azathioprine's antimetabolite effect.
Cosa fare
Monitor complete blood counts before each trastuzumab deruxtecan dose and watch for fever or infection. Consider reducing or stopping azathioprine if neutropenia develops.
Cosa chiedere al farmacista
- 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?
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Altre interazioni di Azathioprine
- Adenovirus types 4 and 7 live + Azathioprine Controindicata
- Azathioprine + Bcg vaccine live Controindicata
- Azathioprine + Febuxostat Controindicata
- Azathioprine + Influenza virus vaccine quadrivalent intranasal Controindicata
- Azathioprine + Measles mumps and rubella vaccine Controindicata
- Azathioprine + Measles mumps and rubella vaccine live Controindicata
Altre interazioni di Trastuzumab deruxtecan
Domande frequenti
Can I take Azathioprine with Trastuzumab deruxtecan?
MediHelp rates the interaction as major. Azathioprine and Trastuzumab deruxtecan 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. Trastuzumab deruxtecan commonly causes neutropenia, and azathioprine also suppresses marrow and immune function. Together they may increase the risk of severe neutropenia and infection.
How serious is the interaction between Azathioprine and Trastuzumab deruxtecan?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor complete blood counts before each trastuzumab deruxtecan dose and watch for fever or infection. Consider reducing or stopping azathioprine if neutropenia develops.
What other medicines interact with Azathioprine?
MediHelp also lists interactions of Azathioprine with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Febuxostat. The full list is on the Azathioprine page.
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