医薬品リファレンス
Sepiapterin
Sepiapterin 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
- A16AX28
- 一般的な剤形
- 散剤
- 既知の相互作用
- 7 (重大: 3 · 中等度: 4)
- 商品名
- 2
- 国・市場
- 2
作用のしくみ
Sepiapterin is a precursor of the enzymatic co-factor tetrahydrobiopterin (BH4), which activates phenylalanine hydroxylase (PAH).
成人の通常用量（添付文書の要約）
Sepiapterin-responsive PKU (HPA), age 2 years and older: 60 mg/kg orally once daily with food; 60 mg/kg is the maximum daily dose for all patients
妊娠と授乳
- 妊娠
- Unknown Data are insufficient; no harm in rats or rabbits at up to 9 and 6 times human exposure. High maternal phenylalanine is itself harmful to the fetus (birth defects, microcephaly), so keep levels controlled before and during pregnancy.
- 授乳
- Safe No data on milk levels or infant effects. US label: weigh benefits. LactMed: if the mother needs it, it is not a reason to stop breastfeeding, but an alternative may be preferred, especially with a newborn or preterm infant.
報告されている副作用
- Diarrhea
- Headache
- Abdominal pain
- Hypophenylalaninemia
- Feces discoloration
- Oropharyngeal pain
注意が必要な方
- Increased bleeding risk (hematomas, prolonged bleeding, heavy menstrual bleeding); consider interruption in active bleeding.
- Hypophenylalaninemia in some pediatric patients; monitor blood Phe, with frequent monitoring in children.
- Levodopa co-administration: seizures, over-stimulation, irritability possible; monitor neurologic status.
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 (7)
- Methotrexate + Sepiapterin Major
- Pemetrexed + Sepiapterin Major
- Sepiapterin + Sulphasalazine Major
- Levodopa + Sepiapterin Moderate
- Sepiapterin + Sildenafil Moderate
- Sepiapterin + Tadalafil Moderate
- Sepiapterin + Vardenafil 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、Sepiapterin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
- Paediatric dosing
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
- IV preparation and dilution
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よくある質問
What is Sepiapterin used for?
Sepiapterin is a medicine in the class miscellaneous.
What side effects have been reported with Sepiapterin?
Diarrhea, Headache, Abdominal pain, Hypophenylalaninemia, Feces discoloration, Oropharyngeal pain.
Can Sepiapterin be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. Data are insufficient; no harm in rats or rabbits at up to 9 and 6 times human exposure. High maternal phenylalanine is itself harmful to the fetus (birth defects, microcephaly), so keep levels controlled before and during pregnancy. Breastfeeding: Safe. No data on milk levels or infant effects. US label: weigh benefits. LactMed: if the mother needs it, it is not a reason to stop breastfeeding, but an alternative may be preferred, especially with a newborn or preterm infant.
What does Sepiapterin interact with?
MediHelp lists 7 known interactions for Sepiapterin. Major: 3 · Moderate: 4. The most serious include Methotrexate, Pemetrexed, Sulphasalazine.
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。
