医薬品リファレンス
Nivolumab
Nivolumab is a medicine in the class oncology. It is used for hodgkin lymphoma.
- 薬効分類: Oncology
- 効能・効果: hodgkin lymphoma
最終更新日
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
- Oncology
- ATCコード
- L01FF01
- 一般的な剤形
- 注射剤
- 一般的な規格
- 10 mg/ml, 40 mg/4 ml, 100 mg/10 ml
- 既知の相互作用
- 13 (重大: 1 · 中等度: 7 · 軽度: 5)
- 商品名
- 7
- 国・市場
- 5
何に使われるか
作用のしくみ
Monoclonal antibody to programmed cell death-1 protein (PD-1); blocks the interaction between PD-1 and its ligands, PD-L1 and PD-L2
成人の通常用量（添付文書の要約）
Adjuvant Treatment of Melanoma: 240 mg IV q2Weeks or 480 mg IV q4Weeks
妊娠と授乳
- 妊娠
- Unsafe Can cause fetal harm: blocking PD-1 can break immune tolerance of the fetus; in monkeys it increased abortion and premature infant death. It crosses the placenta, mostly in the 2nd and 3rd trimesters. Check pregnancy status; use effective contraception during and for 5 months after.
- 授乳
- Unsafe In one mother, milk levels were unexpectedly high and rose with repeated doses (an IgG4 antibody), though infant absorption is probably low. LactMed: avoid while breastfeeding. US label: do not breastfeed during treatment and for 5 months after the last dose.
報告されている副作用
- Rash
- Pruritus
- Cough
- Increased AST
- Hyponatremia
- Increased alkaline phosphatase
注意が必要な方
- In combination with cabozantinib can cause hepatic toxicity with higher frequencies of Grades 3 and 4 ALT and AST elevations compared to drug alone
- Immune-mediated adverse reactions, which may be severe or fatal, can occur in any organ system or tissue, including immune-mediated pneumonitis
- May cause immune-mediated rash, including Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN);
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 (13)
- Nivolumab + Thalidomide Major
- Dexamethasone + Nivolumab Moderate
- Dexamethasone-tobramycin + Nivolumab Moderate
- Efgartigimod / hyaluronidase sc + Nivolumab Moderate
- Efgartigimod alfa + Nivolumab Moderate
- Nivolumab + Ponesimod Moderate
- Nivolumab + Rozanolixizumab Moderate
- Nivolumab + Siponimod Moderate
- Amoxicillin-clavulanic acid + Nivolumab Minor
- Cefalexin + Nivolumab Minor
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、Nivolumab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
- Paediatric dosing
- Patient counselling points
- Food interactions
WebでPro+を14日間無料でお試し。カード登録不要。
同じ分類のほかの薬剤
よくある質問
What is Nivolumab used for?
Nivolumab is a medicine in the class oncology. It is used for Hodgkin lymphoma, Lung cancer, Melanoma, Mesothelioma, Renal cell carcinoma.
What side effects have been reported with Nivolumab?
Rash, Pruritus, Cough, Increased AST, Hyponatremia, Increased alkaline phosphatase.
Can Nivolumab be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. Can cause fetal harm: blocking PD-1 can break immune tolerance of the fetus; in monkeys it increased abortion and premature infant death. It crosses the placenta, mostly in the 2nd and 3rd trimesters. Check pregnancy status; use effective contraception during and for 5 months after. Breastfeeding: Unsafe. In one mother, milk levels were unexpectedly high and rose with repeated doses (an IgG4 antibody), though infant absorption is probably low. LactMed: avoid while breastfeeding. US label: do not breastfeed during treatment and for 5 months after the last dose.
What does Nivolumab interact with?
MediHelp lists 13 known interactions for Nivolumab. Major: 1 · Moderate: 7 · Minor: 5. The most serious include Thalidomide, Dexamethasone, Dexamethasone-tobramycin.
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。
