医薬品リファレンス
Danicopan
Danicopan is a medicine in the class miscellaneous.
- 薬効分類: Miscellaneous
最終更新日 出典: US FDA label
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
要点
- 薬効分類
- Miscellaneous
- ATCコード
- L04AJ09
- 一般的な剤形
- 錠剤
- 一般的な規格
- 100 mg
- 既知の相互作用
- 97 (中等度: 68 · 軽度: 29)
- 商品名
- 2
- 国・市場
- 2
作用のしくみ
Danicopan reversibly binds complement Factor D and selectively inhibits the alternative complement pathway. It prevents cleavage of Factor B and formation of C3 convertase (C3bBb), thereby controlling C3 fragment-mediated extravascular hemolysis in PNH.
成人の通常用量（添付文書の要約）
Extravascular hemolysis in PNH (add-on to ravulizumab or eculizumab): starting dose 150 mg orally three times a day, with or without food; may increase to 200 mg three times a day
妊娠と授乳
- 妊娠
- Unknown No human data. Use may be considered after risk-benefit assessment; untreated PNH carries maternal and fetal risks. No adverse developmental effects in rabbits or rats.
- 授乳
- Unsafe No human milk data; present in animal milk. Advise not to breastfeed during treatment and for 3 days after the last dose.
報告されている副作用
- Headache
- Vomiting
- Pyrexia
- Increased alanine aminotransferase
- Hypertension
- Pain in extremity
警告（枠囲み警告）
- Complement inhibitor that increases the risk of serious, life-threatening or fatal infections with encapsulated bacteria (Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type B). Vaccinate against N. meningitidis and S. pneumoniae at least 2 weeks before the first dose unless delaying therapy is riskier, and follow current ACIP recommendations. Risk persists despite vaccination. Monitor for early signs of infection and evaluate immediately. Available only through the VOYDEYA REMS.
禁忌
- Initiation in patients with unresolved serious infection caused by encapsulated bacteria (Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type B)
注意が必要な方
- Serious encapsulated bacterial infections can occur in vaccinated and unvaccinated patients; if urgent therapy is needed in patients not up to date on vaccines, give antibacterial prophylaxis and vaccinate as soon as possible.
- Hepatic enzyme elevations (ALT) occurred; assess liver enzymes before and periodically during treatment.
- After discontinuation, monitor closely for at least 2 weeks for signs of hemolysis; continue background ravulizumab or eculizumab.
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
主な相互作用 (97)
- Amiodarone + Danicopan Moderate
- Apixaban + Danicopan Moderate
- Atorvastatin + Danicopan Moderate
- Brentuximab + Danicopan Moderate
- Carvedilol + Danicopan Moderate
- Cladribine + Danicopan Moderate
- Colchicine + Danicopan Moderate
- Crizotinib + Danicopan Moderate
- Cyclosporin + Danicopan Moderate
- Dabigatran etexilate + Danicopan Moderate
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Danicopanの完全なモノグラフ（用量、妊娠・授乳、副作用、警告、すべての相互作用）を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
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よくある質問
What is Danicopan used for?
Danicopan is a medicine in the class miscellaneous.
What side effects have been reported with Danicopan?
Headache, Vomiting, Pyrexia, Increased alanine aminotransferase, Hypertension, Pain in extremity. Serious warning: Complement inhibitor that increases the risk of serious, life-threatening or fatal infections with encapsulated bacteria (Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type B).
Can Danicopan be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. No human data. Use may be considered after risk-benefit assessment; untreated PNH carries maternal and fetal risks. No adverse developmental effects in rabbits or rats. Breastfeeding: Unsafe. No human milk data; present in animal milk. Advise not to breastfeed during treatment and for 3 days after the last dose.
What does Danicopan interact with?
MediHelp lists 97 known interactions for Danicopan. Moderate: 68 · Minor: 29. The most serious include Amiodarone, Apixaban, Atorvastatin.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
