相互作用
Argatroban + Cefotetan
重症度: 中等度
Argatroban and Cefotetan: moderate 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
Cefotetan has an N-methylthiotetrazole side chain that can cause hypoprothrombinemia and bleeding, which may add to the anticoagulant effect of argatroban. The risk is greater in patients who are debilitated, poorly nourished, or have renal impairment.
この相互作用をわかりやすく説明すると
Argatroban and Cefotetan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Argatroban belongs to Cardiovascular; Cefotetan belongs to Anti Bacterial.
なぜ起こるのか
Additive pharmacodynamic effect: the N-methylthiotetrazole group inhibits vitamin K epoxide reductase, reducing clotting factor synthesis.
対処法
Monitor aPTT, PT/INR and for bleeding. Consider a cephalosporin without this side chain, or give vitamin K if coagulopathy develops.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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、ArgatrobanとCefotetan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。
Argatrobanのその他の相互作用
Cefotetanのその他の相互作用
よくある質問
Can I take Argatroban with Cefotetan?
MediHelp rates the interaction as moderate. Argatroban and Cefotetan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Cefotetan has an N-methylthiotetrazole side chain that can cause hypoprothrombinemia and bleeding, which may add to the anticoagulant effect of argatroban. The risk is greater in patients who are debilitated, poorly nourished, or have renal impairment.
How serious is the interaction between Argatroban and Cefotetan?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor aPTT, PT/INR and for bleeding. Consider a cephalosporin without this side chain, or give vitamin K if coagulopathy develops.
What other medicines interact with Argatroban?
MediHelp also lists interactions of Argatroban with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Argatroban 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。
