相互作用
Asenapine + Selpercatinib
重症度: 重大
Asenapine and Selpercatinib: major interaction.
最終更新日
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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
Both drugs can prolong the QT interval, so combined use may increase the likelihood of torsades de pointes. The risk is higher with electrolyte disturbances, bradycardia or existing cardiac disease.
この相互作用をわかりやすく説明すると
Asenapine and Selpercatinib 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.
Asenapine belongs to Central Nervous System; Selpercatinib belongs to Oncology.
なぜ起こるのか
Additive prolongation of cardiac repolarization (QTc).
対処法
Avoid the combination if possible; otherwise monitor ECG and electrolytes regularly and correct potassium and magnesium. Interrupt or reduce therapy if QTc becomes markedly prolonged.
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、AsenapineとSelpercatinib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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Asenapineのその他の相互作用
Selpercatinibのその他の相互作用
よくある質問
Can I take Asenapine with Selpercatinib?
MediHelp rates the interaction as major. Asenapine and Selpercatinib 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. Both drugs can prolong the QT interval, so combined use may increase the likelihood of torsades de pointes. The risk is higher with electrolyte disturbances, bradycardia or existing cardiac disease.
How serious is the interaction between Asenapine and Selpercatinib?
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 the combination if possible; otherwise monitor ECG and electrolytes regularly and correct potassium and magnesium. Interrupt or reduce therapy if QTc becomes markedly prolonged.
What other medicines interact with Asenapine?
MediHelp also lists interactions of Asenapine with, for example, Pimozide, Thioridazine, Vandetanib. The full list is on the Asenapine 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。
