相互作用
Alteplase + Caplacizumab
重症度: 重大
Alteplase and Caplacizumab: major interaction.
最終更新日
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概要
Caplacizumab blocks von Willebrand factor-mediated platelet adhesion, and thrombolysis with alteplase adds fibrinolytic activity. Together they substantially raise the risk of severe bleeding.
この相互作用をわかりやすく説明すると
Alteplase and Caplacizumab 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.
Alteplase belongs to Cardiovascular; Caplacizumab belongs to Cardiovascular.
なぜ起こるのか
Additive pharmacodynamic effect of impaired platelet adhesion and plasmin-mediated fibrin breakdown.
対処法
Avoid concurrent use unless thrombolysis is clearly essential; if so, withhold caplacizumab and monitor closely for bleeding with ready access to supportive care.
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、AlteplaseとCaplacizumab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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Alteplaseのその他の相互作用
Caplacizumabのその他の相互作用
よくある質問
Can I take Alteplase with Caplacizumab?
MediHelp rates the interaction as major. Alteplase and Caplacizumab 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. Caplacizumab blocks von Willebrand factor-mediated platelet adhesion, and thrombolysis with alteplase adds fibrinolytic activity. Together they substantially raise the risk of severe bleeding.
How serious is the interaction between Alteplase and Caplacizumab?
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 unless thrombolysis is clearly essential; if so, withhold caplacizumab and monitor closely for bleeding with ready access to supportive care.
What other medicines interact with Alteplase?
MediHelp also lists interactions of Alteplase with, for example, Defibrotide, Reteplase, Tenecteplase. The full list is on the Alteplase 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。
