医薬品リファレンス
Pemetrexed
Pemetrexed is a medicine in the class oncology. It is used for lung cancer.
- 薬効分類: Oncology
- 効能・効果: lung cancer
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
- L01BA04
- 一般的な剤形
- 注射剤, 点滴静注剤, 溶液
- 一般的な規格
- 500 mg, 25 mg/ml, 100 mg
- 既知の相互作用
- 58 (重大: 32 · 中等度: 22 · 軽度: 4)
- 商品名
- 33
- 国・市場
- 5
何に使われるか
作用のしくみ
Antifolate antineoplastic agent: Disrupts folate-dependent metabolic processes essential for cell replication
成人の通常用量（添付文書の要約）
Mesothelioma: In combination with cisplatin: Pemetrexed 500 mg/m2 IV on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity.
妊娠と授乳
- 妊娠
- Unsafe Can cause fetal harm: teratogenic in mice at doses below the human dose; it is an antifolate. No human data. Avoid; check pregnancy status and use contraception during treatment and for 6 months after the last dose (men: 3 months).
- 授乳
- Unsafe No data on milk levels. Because of possible serious infant reactions, do not breastfeed during treatment and for 1 week after the last dose. LactMed: breastfeeding is generally contraindicated during high-dose chemotherapy.
報告されている副作用
- Fatigue
- Vomiting
- Nausea
- Anemia
- Neutropenia
- Thrombocytopenia
注意が必要な方
- Radiation recall can occur in patients who have received radiation weeks to years previously
- Based on findings from animal studies and its mechanism of action, therapy can cause fetal harm when administered to a pregnant woman; avoid pregnancy
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 (58)
- Bacitracin + Pemetrexed Major
- Brexucabtagene autoleucel + Pemetrexed Major
- Celecoxib + Pemetrexed Major
- Ciltacabtagene autoleucel + Pemetrexed Major
- Deferiprone + Pemetrexed Major
- Dengue vaccine + Pemetrexed Major
- Diclofenac + Pemetrexed Major
- Diflunisal + Pemetrexed Major
- Etodolac + Pemetrexed Major
- Etrasimod + Pemetrexed Major
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、Pemetrexed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 Pemetrexed used for?
Pemetrexed is a medicine in the class oncology. It is used for Lung cancer, Mesothelioma.
What side effects have been reported with Pemetrexed?
Fatigue, Vomiting, Nausea, Anemia, Neutropenia, Thrombocytopenia.
Can Pemetrexed be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. Can cause fetal harm: teratogenic in mice at doses below the human dose; it is an antifolate. No human data. Avoid; check pregnancy status and use contraception during treatment and for 6 months after the last dose (men: 3 months). Breastfeeding: Unsafe. No data on milk levels. Because of possible serious infant reactions, do not breastfeed during treatment and for 1 week after the last dose. LactMed: breastfeeding is generally contraindicated during high-dose chemotherapy.
What does Pemetrexed interact with?
MediHelp lists 58 known interactions for Pemetrexed. Major: 32 · Moderate: 22 · Minor: 4. The most serious include Bacitracin, Brexucabtagene autoleucel, Celecoxib.
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。
