相互作用
Azathioprine + Ciltacabtagene autoleucel
重症度: 重大
Azathioprine and Ciltacabtagene autoleucel: major interaction.
最終更新日
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概要
Azathioprine may impair T-cell function and reduce CAR-T cell expansion and efficacy. It also increases the risk of infection during the cytopenic period after CAR-T therapy.
この相互作用をわかりやすく説明すると
Azathioprine and Ciltacabtagene autoleucel 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.
Azathioprine belongs to Gastrointestinal Tract; Ciltacabtagene autoleucel belongs to Miscellaneous.
なぜ起こるのか
Immunosuppressive antimetabolite activity against lymphocytes may reduce CAR-T cell expansion and persistence.
対処法
Discontinue azathioprine before leukapheresis and infusion as directed by the treating center. Monitor for infection if it must continue.
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、AzathioprineとCiltacabtagene autoleucel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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Azathioprineのその他の相互作用
Ciltacabtagene autoleucelのその他の相互作用
よくある質問
Can I take Azathioprine with Ciltacabtagene autoleucel?
MediHelp rates the interaction as major. Azathioprine and Ciltacabtagene autoleucel 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. Azathioprine may impair T-cell function and reduce CAR-T cell expansion and efficacy. It also increases the risk of infection during the cytopenic period after CAR-T therapy.
How serious is the interaction between Azathioprine and Ciltacabtagene autoleucel?
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 azathioprine before leukapheresis and infusion as directed by the treating center. Monitor for infection if it must continue.
What other medicines interact with Azathioprine?
MediHelp also lists interactions of Azathioprine with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Febuxostat. The full list is on the Azathioprine 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。
