相互作用
Apalutamide + Flutamide
重症度: 中等度
Apalutamide and Flutamide: moderate interaction.
最終更新日
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概要
Flutamide is converted by CYP1A2 to its active metabolite, with some CYP3A4 involvement. Apalutamide as an inducer may alter exposure, and both drugs are antiandrogens with additive hepatotoxicity potential, and combining them has no therapeutic rationale.
この相互作用をわかりやすく説明すると
Apalutamide and Flutamide 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; Flutamide belongs to Endocrine.
なぜ起こるのか
Apalutamide induces CYP3A4 and may change flutamide metabolism, with overlapping antiandrogen pharmacology.
対処法
Avoid using two antiandrogens together. If they must be combined, monitor liver tests and clinical response.
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?
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、ApalutamideとFlutamide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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Flutamideのその他の相互作用
Apalutamideのその他の相互作用
よくある質問
Can I take Apalutamide with Flutamide?
MediHelp rates the interaction as moderate. Apalutamide and Flutamide 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. Flutamide is converted by CYP1A2 to its active metabolite, with some CYP3A4 involvement. Apalutamide as an inducer may alter exposure, and both drugs are antiandrogens with additive hepatotoxicity potential, and combining them has no therapeutic rationale.
How serious is the interaction between Apalutamide and Flutamide?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid using two antiandrogens together. If they must be combined, monitor liver tests and clinical response.
What other medicines interact with Flutamide?
MediHelp also lists interactions of Flutamide with, for example, Idelalisib, Levoketoconazole, Pexidartinib. The full list is on the Flutamide 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。
