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相互作用

Apalutamide + Lorlatinib

重症度: 併用禁忌

Apalutamide and Lorlatinib: contraindicated interaction.

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概要

Apalutamide induces drug-metabolising enzymes and speeds up clearance of lorlatinib. Lorlatinib exposure falls and, with strong inducers, severe transaminase elevations and loss of efficacy are described.

この相互作用をわかりやすく説明すると

Apalutamide and Lorlatinib 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; Lorlatinib belongs to Oncology.

エビデンスレベル: High

なぜ起こるのか

CYP3A4 induction lowers lorlatinib exposure

対処法

Avoid; no safe dose adjustment is established.

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.

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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Lorlatinib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。

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  • 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 Lorlatinib?

MediHelp rates the interaction as contraindicated. Apalutamide and Lorlatinib 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 induces drug-metabolising enzymes and speeds up clearance of lorlatinib. Lorlatinib exposure falls and, with strong inducers, severe transaminase elevations and loss of efficacy are described.

How serious is the interaction between Apalutamide and Lorlatinib?

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; no safe dose adjustment is established.

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。

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