相互作用
Aprepitant + Bosutinib
重症度: 重大
Aprepitant and Bosutinib: major interaction.
最終更新日
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概要
Bosutinib is metabolized mainly by CYP3A4, and aprepitant is a moderate inhibitor of this enzyme. Coadministration may raise bosutinib concentrations and increase gastrointestinal, hepatic and other toxicities.
この相互作用をわかりやすく説明すると
Aprepitant and Bosutinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Aprepitant belongs to Gastrointestinal Tract; Bosutinib belongs to Oncology.
なぜ起こるのか
Inhibition of CYP3A4-mediated metabolism of bosutinib by aprepitant.
対処法
Avoid moderate CYP3A4 inhibitors where possible and consider an alternative antiemetic. If used, monitor for bosutinib toxicity such as diarrhea and liver enzyme elevations, and adjust the dose as needed.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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、AprepitantとBosutinib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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Aprepitantのその他の相互作用
Bosutinibのその他の相互作用
よくある質問
Can I take Aprepitant with Bosutinib?
MediHelp rates the interaction as major. Aprepitant and Bosutinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Bosutinib is metabolized mainly by CYP3A4, and aprepitant is a moderate inhibitor of this enzyme. Coadministration may raise bosutinib concentrations and increase gastrointestinal, hepatic and other toxicities.
How serious is the interaction between Aprepitant and Bosutinib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid moderate CYP3A4 inhibitors where possible and consider an alternative antiemetic. If used, monitor for bosutinib toxicity such as diarrhea and liver enzyme elevations, and adjust the dose as needed.
What other medicines interact with Aprepitant?
MediHelp also lists interactions of Aprepitant with, for example, Lomitapide, Pimozide, Avapritinib. The full list is on the Aprepitant 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。
