医薬品リファレンス
Roxadustat
Roxadustat is a medicine in the class miscellaneous. It is used for anemia.
- 薬効分類: Miscellaneous
- 効能・効果: anemia
最終更新日 出典: EMA SmPC
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要点
- 薬効分類
- Miscellaneous
- ATCコード
- B03XA05
- 一般的な規格
- 100 mg
- 既知の相互作用
- 10 (重大: 2 · 中等度: 8)
- 商品名
- 2
- 国・市場
- 2
何に使われるか
作用のしくみ
Hypoxia-inducible factor prolyl hydroxylase inhibitor. Reversible HIF-PH inhibition raises endogenous erythropoietin, regulates iron transporter proteins and reduces hepcidin, improving iron availability and increasing Hb production and red cell mass.
成人の通常用量(添付文書の要約)
Symptomatic anaemia of CKD, ESA-naive: 70 mg orally three times per week (not on consecutive days) if under 100 kg; 100 mg three times per week if 100 kg or over.
妊娠と授乳
- 妊娠
- Unsafe No human data; animal reproductive toxicity. Contraindicated in the third trimester; not recommended in the first and second trimesters.
- 授乳
- Unsafe Unknown whether excreted in human milk; excreted in animal milk. Contraindicated during breast-feeding.
報告されている副作用
- Hypertension
- Vascular access thrombosis
- Diarrhoea
- Peripheral oedema
- Hyperkalaemia
- Nausea
禁忌
- Hypersensitivity to the active substance, peanut, soya or any excipient.
- Third trimester of pregnancy.
- Breast-feeding.
注意が必要な方
- Cardiovascular and mortality risk is estimated as comparable to ESA therapy; in non-dialysis patients the risk versus placebo could not be estimated. Converting stable ESA-treated dialysis patients only with a valid clinical reason.
- Thrombotic vascular events (DVT, PE, cerebral infarction, vascular access thrombosis) occur; weigh risk especially with obesity or prior TVE; avoid Hb above 12 g/dL or a rise above 2 g/dL over 4 weeks.
- Seizures: use with caution in patients with a history of seizures, epilepsy or CNS infections.
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 (10)
- Gemfibrozil + Roxadustat Major
- Probenecid + Roxadustat Major
- Atorvastatin + Roxadustat Moderate
- Calcium + Roxadustat Moderate
- Calcium acetate + Roxadustat Moderate
- Iron + Roxadustat Moderate
- Magnesium + Roxadustat Moderate
- Rosuvastatin + Roxadustat Moderate
- Roxadustat + Sevelamer Moderate
- Roxadustat + Simvastatin 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、Roxadustat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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同じ分類のほかの薬剤
よくある質問
What is Roxadustat used for?
Roxadustat is a medicine in the class miscellaneous. It is used for Anemia.
What side effects have been reported with Roxadustat?
Hypertension, Vascular access thrombosis, Diarrhoea, Peripheral oedema, Hyperkalaemia, Nausea.
Can Roxadustat be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. No human data; animal reproductive toxicity. Contraindicated in the third trimester; not recommended in the first and second trimesters. Breastfeeding: Unsafe. Unknown whether excreted in human milk; excreted in animal milk. Contraindicated during breast-feeding.
What does Roxadustat interact with?
MediHelp lists 10 known interactions for Roxadustat. Major: 2 · Moderate: 8. The most serious include Gemfibrozil, Probenecid, 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。