相互作用
Activated charcoal + Methotrexate
重症度: 中等度
Activated charcoal and Methotrexate: moderate interaction.
最終更新日
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概要
Activated charcoal binds methotrexate in the gut and can interrupt its enterohepatic recirculation, lowering its levels. This reduces the effect of therapeutic doses but is used deliberately in overdose.
この相互作用をわかりやすく説明すると
Activated charcoal and Methotrexate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Activated charcoal belongs to Gastrointestinal Tract; Methotrexate belongs to Oncology.
なぜ起こるのか
Adsorption of methotrexate in the gastrointestinal tract reduces absorption and enterohepatic reabsorption.
対処法
Separate charcoal from oral methotrexate doses unless it is being given for overdose. In overdose, consider repeated charcoal alongside leucovorin and supportive care.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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、Activated charcoalとMethotrexateの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Methotrexateのその他の相互作用
Activated charcoalのその他の相互作用
よくある質問
Can I take Activated charcoal with Methotrexate?
MediHelp rates the interaction as moderate. Activated charcoal and Methotrexate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Activated charcoal binds methotrexate in the gut and can interrupt its enterohepatic recirculation, lowering its levels. This reduces the effect of therapeutic doses but is used deliberately in overdose.
How serious is the interaction between Activated charcoal and Methotrexate?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate charcoal from oral methotrexate doses unless it is being given for overdose. In overdose, consider repeated charcoal alongside leucovorin and supportive care.
What other medicines interact with Methotrexate?
MediHelp also lists interactions of Methotrexate with, for example, Acitretin, Adenovirus types 4 and 7 live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Methotrexate page.
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。
