相互作用
Atidarsagene autotemcel + Nevirapine
重症度: 重大
Atidarsagene autotemcel and Nevirapine: major interaction.
最終更新日
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概要
Antiretrovirals may interfere with manufacture of the gene-modified cell product by impairing transduction of the harvested cells. Nevirapine therefore needs to be stopped before mobilization and apheresis.
この相互作用をわかりやすく説明すると
Atidarsagene autotemcel and Nevirapine 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.
Atidarsagene autotemcel belongs to Miscellaneous; Nevirapine belongs to Anti Virals.
なぜ起こるのか
Antiretroviral activity may inhibit lentiviral vector transduction during manufacturing of the cell product.
対処法
Discontinue nevirapine at least one month before mobilization, or longer to allow elimination, and until apheresis is complete. Plan an alternative HIV approach with the treating team.
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、Atidarsagene autotemcelとNevirapine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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Nevirapineのその他の相互作用
Atidarsagene autotemcelのその他の相互作用
よくある質問
Can I take Atidarsagene autotemcel with Nevirapine?
MediHelp rates the interaction as major. Atidarsagene autotemcel and Nevirapine 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. Antiretrovirals may interfere with manufacture of the gene-modified cell product by impairing transduction of the harvested cells. Nevirapine therefore needs to be stopped before mobilization and apheresis.
How serious is the interaction between Atidarsagene autotemcel and Nevirapine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Discontinue nevirapine at least one month before mobilization, or longer to allow elimination, and until apheresis is complete. Plan an alternative HIV approach with the treating team.
What other medicines interact with Nevirapine?
MediHelp also lists interactions of Nevirapine with, for example, Elbasvir / grazoprevir, Ranolazine, St john's wort. The full list is on the Nevirapine 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。