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相互作用

Apalutamide + Febuxostat

重症度: 中等度

Apalutamide and Febuxostat: moderate interaction.

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概要

Apalutamide induces UGT enzymes and CYP enzymes, which may lower febuxostat concentrations since febuxostat is cleared partly by glucuronidation and CYP oxidation. This could reduce urate-lowering efficacy.

この相互作用をわかりやすく説明すると

Apalutamide and Febuxostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Apalutamide belongs to Endocrine; Febuxostat belongs to Genitourinary.

エビデンスレベル: Low

なぜ起こるのか

Induction of UGT and CYP enzymes by apalutamide increases febuxostat clearance.

対処法

Monitor serum uric acid after starting apalutamide and increase the febuxostat dose within labeled limits if the target is not reached.

薬剤師に尋ねること

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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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、ApalutamideとFebuxostat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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よくある質問

Can I take Apalutamide with Febuxostat?

MediHelp rates the interaction as moderate. Apalutamide and Febuxostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Apalutamide induces UGT enzymes and CYP enzymes, which may lower febuxostat concentrations since febuxostat is cleared partly by glucuronidation and CYP oxidation. This could reduce urate-lowering efficacy.

How serious is the interaction between Apalutamide and Febuxostat?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum uric acid after starting apalutamide and increase the febuxostat dose within labeled limits if the target is not reached.

What other medicines interact with Febuxostat?

MediHelp also lists interactions of Febuxostat with, for example, Azathioprine, Mercaptopurine, Didanosine. The full list is on the Febuxostat 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。

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