相互作用
Amiodarone + Topotecan
重症度: 重大
Amiodarone and Topotecan: major interaction.
最終更新日
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概要
Amiodarone inhibits P-glycoprotein and may increase topotecan exposure, especially oral topotecan. This could worsen myelosuppression and gastrointestinal toxicity.
この相互作用をわかりやすく説明すると
Amiodarone and Topotecan 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.
Amiodarone belongs to Cardiovascular; Topotecan belongs to Oncology.
なぜ起こるのか
Amiodarone inhibits P-gp and BCRP-mediated efflux of topotecan, raising its absorption and systemic exposure.
対処法
Avoid with oral topotecan. With IV topotecan, monitor blood counts closely and reduce dose for toxicity.
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、AmiodaroneとTopotecan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
WebでPro+を14日間無料でお試し。カード登録不要。
Amiodaroneのその他の相互作用
Topotecanのその他の相互作用
よくある質問
Can I take Amiodarone with Topotecan?
MediHelp rates the interaction as major. Amiodarone and Topotecan 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. Amiodarone inhibits P-glycoprotein and may increase topotecan exposure, especially oral topotecan. This could worsen myelosuppression and gastrointestinal toxicity.
How serious is the interaction between Amiodarone and Topotecan?
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 with oral topotecan. With IV topotecan, monitor blood counts closely and reduce dose for toxicity.
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。
