相互作用
Ado-trastuzumab + Trastuzumab deruxtecan
重症度: 重大
Ado-trastuzumab and Trastuzumab deruxtecan: major interaction.
最終更新日
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概要
Both are HER2-directed antibody-drug conjugates with cytotoxic payloads that cause myelosuppression, interstitial lung disease and cardiac toxicity. Combining them duplicates therapy and increases toxicity without established benefit.
この相互作用をわかりやすく説明すると
Ado-trastuzumab and Trastuzumab deruxtecan can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Ado-trastuzumab belongs to Oncology; Trastuzumab deruxtecan belongs to Oncology.
なぜ起こるのか
Additive cytotoxic, myelosuppressive and cardiopulmonary toxicity of two HER2-targeted antibody-drug conjugates.
対処法
Avoid concurrent use; they are not intended to be given together. Allow sequential use only with monitoring of blood counts, lung and cardiac function.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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、Ado-trastuzumabとTrastuzumab deruxtecan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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Ado-trastuzumabのその他の相互作用
Trastuzumab deruxtecanのその他の相互作用
よくある質問
Can I take Ado-trastuzumab with Trastuzumab deruxtecan?
MediHelp rates the interaction as major. Ado-trastuzumab and Trastuzumab deruxtecan can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both are HER2-directed antibody-drug conjugates with cytotoxic payloads that cause myelosuppression, interstitial lung disease and cardiac toxicity. Combining them duplicates therapy and increases toxicity without established benefit.
How serious is the interaction between Ado-trastuzumab and Trastuzumab deruxtecan?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use; they are not intended to be given together. Allow sequential use only with monitoring of blood counts, lung and cardiac function.
What other medicines interact with Ado-trastuzumab?
MediHelp also lists interactions of Ado-trastuzumab with, for example, Atazanavir, Baricitinib, Ceritinib. The full list is on the Ado-trastuzumab 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。
