相互作用
Atomoxetine + Dacomitinib
重症度: 重大
Atomoxetine and Dacomitinib: major interaction.
最終更新日
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概要
Dacomitinib strongly inhibits CYP2D6, the main enzyme that clears atomoxetine. Atomoxetine exposure may rise to levels like those in CYP2D6 poor metabolisers, increasing adverse effects such as hypertension, tachycardia and insomnia.
この相互作用をわかりやすく説明すると
Atomoxetine and Dacomitinib 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.
Atomoxetine belongs to Central Nervous System; Dacomitinib belongs to Oncology.
なぜ起こるのか
Dacomitinib inhibits CYP2D6, reducing atomoxetine metabolism.
対処法
Start atomoxetine at the lower dose and increase only if tolerated, or choose an alternative. Monitor heart rate and blood pressure.
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、AtomoxetineとDacomitinib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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Atomoxetineのその他の相互作用
Dacomitinibのその他の相互作用
よくある質問
Can I take Atomoxetine with Dacomitinib?
MediHelp rates the interaction as major. Atomoxetine and Dacomitinib 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. Dacomitinib strongly inhibits CYP2D6, the main enzyme that clears atomoxetine. Atomoxetine exposure may rise to levels like those in CYP2D6 poor metabolisers, increasing adverse effects such as hypertension, tachycardia and insomnia.
How serious is the interaction between Atomoxetine and Dacomitinib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start atomoxetine at the lower dose and increase only if tolerated, or choose an alternative. Monitor heart rate and blood pressure.
What other medicines interact with Atomoxetine?
MediHelp also lists interactions of Atomoxetine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Atomoxetine 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。
