Interazioni tra farmaci
Epirubicin + Trastuzumab deruxtecan
Gravità: Maggiore
Epirubicin and Trastuzumab deruxtecan: major interaction.
Ultimo aggiornamento
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Sintesi
Trastuzumab-based therapy can cause cardiomyopathy and left ventricular dysfunction, and the risk is highest when given with anthracyclines. Epirubicin adds its own dose-related cardiotoxicity, and trastuzumab deruxtecan also carries risk of interstitial lung disease and myelosuppression.
Cosa significa questa interazione in parole semplici
Epirubicin 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.
Epirubicin belongs to Oncology; Trastuzumab deruxtecan belongs to Oncology.
Perché avviene
Additive cardiotoxicity from HER2 inhibition and anthracycline-induced myocardial injury.
Cosa fare
Avoid concurrent use when possible and keep the interval between agents as long as practical. Check left ventricular ejection fraction before and during treatment.
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 Epirubicin
- Adenovirus types 4 and 7 live + Epirubicin Controindicata
- Belatacept + Epirubicin Maggiore
- Cimetidine + Epirubicin Maggiore
- Deferiprone + Epirubicin Maggiore
- Dengue vaccine + Epirubicin Maggiore
- Epirubicin + Etrasimod Maggiore
Altre interazioni di Trastuzumab deruxtecan
Domande frequenti
Can I take Epirubicin with Trastuzumab deruxtecan?
MediHelp rates the interaction as major. Epirubicin 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-based therapy can cause cardiomyopathy and left ventricular dysfunction, and the risk is highest when given with anthracyclines. Epirubicin adds its own dose-related cardiotoxicity, and trastuzumab deruxtecan also carries risk of interstitial lung disease and myelosuppression.
How serious is the interaction between Epirubicin 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: Avoid concurrent use when possible and keep the interval between agents as long as practical. Check left ventricular ejection fraction before and during treatment.
What other medicines interact with Epirubicin?
MediHelp also lists interactions of Epirubicin with, for example, Adenovirus types 4 and 7 live, Belatacept, Cimetidine. The full list is on the Epirubicin page.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
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