相互作用
Apalutamide + Lonafarnib
重症度: 併用禁忌
Apalutamide and Lonafarnib: contraindicated interaction.
最終更新日
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概要
Lonafarnib is a sensitive CYP3A4 substrate, and a strong inducer like apalutamide can reduce its levels considerably, compromising efficacy.
この相互作用をわかりやすく説明すると
Apalutamide and Lonafarnib 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; Lonafarnib belongs to Miscellaneous.
なぜ起こるのか
Apalutamide induces CYP3A4, enhancing the metabolic clearance of lonafarnib.
対処法
Do not use together; choose a different antiandrogen. If an inducer must be stopped, wait for induction to resolve before restarting full lonafarnib dosing as directed by labeling.
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Lonafarnib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
Lonafarnibのその他の相互作用
よくある質問
Can I take Apalutamide with Lonafarnib?
MediHelp rates the interaction as contraindicated. Apalutamide and Lonafarnib 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. Lonafarnib is a sensitive CYP3A4 substrate, and a strong inducer like apalutamide can reduce its levels considerably, compromising efficacy.
How serious is the interaction between Apalutamide and Lonafarnib?
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 use together; choose a different antiandrogen. If an inducer must be stopped, wait for induction to resolve before restarting full lonafarnib dosing as directed by labeling.
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。
