相互作用
Axicabtagene ciloleucel + Cladribine
重症度: 重大
Axicabtagene ciloleucel and Cladribine: major interaction.
最終更新日
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概要
Cladribine is toxic to lymphocytes and may impair collection or expansion of T cells, and may reduce CAR-T cell function and persistence. The combination also adds to immunosuppression and infection risk.
この相互作用をわかりやすく説明すると
Axicabtagene ciloleucel and Cladribine 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.
Axicabtagene ciloleucel belongs to Oncology; Cladribine belongs to Oncology.
なぜ起こるのか
Lymphotoxic effect of cladribine reduces T-cell numbers and function, affecting CAR-T manufacturing and expansion, and adds to immunosuppression.
対処法
Avoid cladribine in the period before leukapheresis and CAR-T infusion; follow the product labeling for the washout interval. Monitor closely for infections if exposure has occurred.
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、Axicabtagene ciloleucelとCladribine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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Cladribineのその他の相互作用
Axicabtagene ciloleucelのその他の相互作用
よくある質問
Can I take Axicabtagene ciloleucel with Cladribine?
MediHelp rates the interaction as major. Axicabtagene ciloleucel and Cladribine 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. Cladribine is toxic to lymphocytes and may impair collection or expansion of T cells, and may reduce CAR-T cell function and persistence. The combination also adds to immunosuppression and infection risk.
How serious is the interaction between Axicabtagene ciloleucel and Cladribine?
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 cladribine in the period before leukapheresis and CAR-T infusion; follow the product labeling for the washout interval. Monitor closely for infections if exposure has occurred.
What other medicines interact with Cladribine?
MediHelp also lists interactions of Cladribine with, for example, Adenovirus types 4 and 7 live, Siponimod, Tofacitinib. The full list is on the Cladribine 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。
