相互作用
Apalutamide + Fostemsavir
重症度: 併用禁忌
Apalutamide and Fostemsavir: contraindicated interaction.
最終更新日
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概要
Strong CYP3A4 inducers substantially reduce exposure to temsavir, the active form of fostemsavir. Subtherapeutic levels risk virologic failure and resistance development in patients with multidrug-resistant HIV.
この相互作用をわかりやすく説明すると
Apalutamide and Fostemsavir 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.
Apalutamide belongs to Endocrine; Fostemsavir belongs to Anti Virals.
なぜ起こるのか
Apalutamide induces CYP3A4, accelerating the clearance of temsavir.
対処法
Avoid the combination; use a different antiandrogen therapy if fostemsavir is needed. Monitor HIV RNA if exposure to the inducer was recent.
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?
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Fostemsavir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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Apalutamideのその他の相互作用
Fostemsavirのその他の相互作用
よくある質問
Can I take Apalutamide with Fostemsavir?
MediHelp rates the interaction as contraindicated. Apalutamide and Fostemsavir 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. Strong CYP3A4 inducers substantially reduce exposure to temsavir, the active form of fostemsavir. Subtherapeutic levels risk virologic failure and resistance development in patients with multidrug-resistant HIV.
How serious is the interaction between Apalutamide and Fostemsavir?
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; use a different antiandrogen therapy if fostemsavir is needed. Monitor HIV RNA if exposure to the inducer was recent.
What other medicines interact with Apalutamide?
MediHelp also lists interactions of Apalutamide with, for example, Cabotegravir, Cobicistat, Doravirine. The full list is on the Apalutamide 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。
