Interazioni tra farmaci
Cholestyramine + Leflunomide
Gravità: Maggiore
Cholestyramine and Leflunomide: major interaction.
Ultimo aggiornamento
Per operatori sanitari — solo a scopo di riferimento. Questa pagina è una sintesi breve, non è un parere medico e non sostituisce il RCP ufficiale né il giudizio clinico. Verificare sempre prima di prescrivere o dispensare.
Il contenuto clinico di questa pagina è disponibile solo in inglese.
Sintesi
Cholestyramine binds teriflunomide in the gut and interrupts its enterohepatic recirculation, causing a marked fall in plasma levels. This is exploited for rapid elimination after leflunomide toxicity, but unintended use reduces efficacy.
Cosa significa questa interazione in parole semplici
Cholestyramine and Leflunomide 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.
Cholestyramine belongs to Cardiovascular; Leflunomide belongs to Musculoskeletal.
Perché avviene
Cholestyramine binds teriflunomide in the intestine, preventing reabsorption and enhancing fecal elimination.
Cosa fare
Avoid concurrent use unless a washout is intended; for accelerated elimination, use the labeled cholestyramine regimen. Otherwise choose another lipid-lowering agent.
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?
Per gli utenti Pro+
Sblocca la pagina completa
Crei un account e avvii una prova di Pro+ per sbloccare le indicazioni complete sulla gestione di Cholestyramine e Leflunomide, le note aggiuntive, il dettaglio delle evidenze e il controllo delle interazioni per un'intera prescrizione.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Provi Pro+ gratis per 14 giorni sul web. Nessuna carta.
Altre interazioni di Leflunomide
- Bcg vaccine live + Leflunomide Controindicata
- Influenza virus vaccine quadrivalent intranasal + Leflunomide Controindicata
- Leflunomide + Measles mumps and rubella vaccine live Controindicata
- Leflunomide + Measles mumps rubella and varicella vaccine live Controindicata
- Leflunomide + Measles vaccine Controindicata
- Leflunomide + Smallpox vaccine live Controindicata
Altre interazioni di Cholestyramine
- Cholestyramine + Cholic acid Maggiore
- Cholestyramine + Deferasirox Maggiore
- Cholestyramine + Levothyroxine Maggiore
- Cholestyramine + Mycophenolate Maggiore
- Cholestyramine + Mycophenolate mofetil Maggiore
- Cholestyramine + Mycophenolic acid Maggiore
Domande frequenti
Can I take Cholestyramine with Leflunomide?
MediHelp rates the interaction as major. Cholestyramine and Leflunomide 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. Cholestyramine binds teriflunomide in the gut and interrupts its enterohepatic recirculation, causing a marked fall in plasma levels. This is exploited for rapid elimination after leflunomide toxicity, but unintended use reduces efficacy.
How serious is the interaction between Cholestyramine and Leflunomide?
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 unless a washout is intended; for accelerated elimination, use the labeled cholestyramine regimen. Otherwise choose another lipid-lowering agent.
What other medicines interact with Leflunomide?
MediHelp also lists interactions of Leflunomide with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Leflunomide page.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
Apra il riferimento completo, verifichi le interazioni tra più farmaci e usi gli strumenti di posologia nell'app MediHelp.
