相互作用
Adenovirus types 4 and 7 live + Cladribine
重症度: 併用禁忌
Adenovirus types 4 and 7 live and Cladribine: contraindicated interaction.
最終更新日
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概要
Cladribine causes prolonged lymphopenia and immunosuppression. The live oral adenovirus vaccine could replicate unchecked and cause vaccine-related infection, and the vaccine response may be poor.
この相互作用をわかりやすく説明すると
Adenovirus types 4 and 7 live and Cladribine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
なぜ起こるのか
Cladribine-induced lymphocyte depletion impairs immunity, allowing live attenuated virus replication and reducing vaccine efficacy.
対処法
Do not give live vaccines during cladribine treatment or while lymphocyte counts remain low after it. Vaccinate at least 4 to 6 weeks before starting cladribine, and check lymphocyte recovery before any later live vaccine.
薬剤師に尋ねること
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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、Adenovirus types 4 and 7 liveとCladribine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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Cladribineのその他の相互作用
よくある質問
Can I take Adenovirus types 4 and 7 live with Cladribine?
MediHelp rates the interaction as contraindicated. Adenovirus types 4 and 7 live and Cladribine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Cladribine causes prolonged lymphopenia and immunosuppression. The live oral adenovirus vaccine could replicate unchecked and cause vaccine-related infection, and the vaccine response may be poor.
How serious is the interaction between Adenovirus types 4 and 7 live and Cladribine?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give live vaccines during cladribine treatment or while lymphocyte counts remain low after it. Vaccinate at least 4 to 6 weeks before starting cladribine, and check lymphocyte recovery before any later live vaccine.
What other medicines interact with Cladribine?
MediHelp also lists interactions of Cladribine with, for example, Siponimod, Tofacitinib, Axicabtagene ciloleucel. The full list is on the Cladribine 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。
