相互作用
Amiodarone + Ribociclib
重症度: 併用禁忌
Amiodarone and Ribociclib: contraindicated interaction.
最終更新日
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概要
Ribociclib prolongs the QT interval dose-dependently and amiodarone has strong QT effects, so the combination is hazardous. Ribociclib also inhibits CYP3A4, which may increase amiodarone exposure.
この相互作用をわかりやすく説明すると
Amiodarone and Ribociclib 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.
Amiodarone belongs to Cardiovascular; Ribociclib belongs to Oncology.
なぜ起こるのか
Additive QT prolongation combined with CYP3A4 inhibition by ribociclib.
対処法
Avoid the combination and use an alternative antiarrhythmic. If it cannot be avoided, monitor ECG and electrolytes intensively with ribociclib dose reduction per labeling.
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?
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アカウントを作成してPro+トライアルを始めると、AmiodaroneとRibociclib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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Amiodaroneのその他の相互作用
Ribociclibのその他の相互作用
よくある質問
Can I take Amiodarone with Ribociclib?
MediHelp rates the interaction as contraindicated. Amiodarone and Ribociclib 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. Ribociclib prolongs the QT interval dose-dependently and amiodarone has strong QT effects, so the combination is hazardous. Ribociclib also inhibits CYP3A4, which may increase amiodarone exposure.
How serious is the interaction between Amiodarone and Ribociclib?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and use an alternative antiarrhythmic. If it cannot be avoided, monitor ECG and electrolytes intensively with ribociclib dose reduction per labeling.
What other medicines interact with Amiodarone?
MediHelp also lists interactions of Amiodarone with, for example, Amisulpride, Arsenic trioxide, Dofetilide. The full list is on the Amiodarone 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。