本文へスキップ

相互作用

Apalutamide + Isavuconazonium

重症度: 併用禁忌

Apalutamide and Isavuconazonium: contraindicated interaction.

最終更新日

医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。

このページの臨床コンテンツは英語でのみ提供されています。

概要

Apalutamide lowers the exposure to isavuconazole, the active moiety of isavuconazonium, which may cause failure of antifungal treatment in serious invasive infections.

この相互作用をわかりやすく説明すると

Apalutamide and Isavuconazonium 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; Isavuconazonium belongs to Anti Fungals.

エビデンスレベル: High

なぜ起こるのか

Apalutamide is a strong CYP3A4 inducer that increases the metabolism of isavuconazole, a CYP3A4 substrate.

対処法

Do not combine; select an alternative antifungal not dependent on CYP3A4 or an alternative to apalutamide. If unavoidable, monitor clinical response closely.

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?

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

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Isavuconazonium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。

よくある質問

Can I take Apalutamide with Isavuconazonium?

MediHelp rates the interaction as contraindicated. Apalutamide and Isavuconazonium 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 lowers the exposure to isavuconazole, the active moiety of isavuconazonium, which may cause failure of antifungal treatment in serious invasive infections.

How serious is the interaction between Apalutamide and Isavuconazonium?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine; select an alternative antifungal not dependent on CYP3A4 or an alternative to apalutamide. If unavoidable, monitor clinical response closely.

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。

A–Zで探す · 相互作用

アプリを入手 ログイン