相互作用
Azathioprine + Mesalamine
重症度: 中等度
Azathioprine and Mesalamine: moderate interaction.
最終更新日
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概要
Mesalamine may inhibit thiopurine methyltransferase, raising active thioguanine nucleotide levels. This can increase the risk of leukopenia and other myelosuppression.
この相互作用をわかりやすく説明すると
Azathioprine and Mesalamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Azathioprine belongs to Gastrointestinal Tract; Mesalamine belongs to Gastrointestinal Tract.
なぜ起こるのか
Inhibition of TPMT by mesalamine increases thiopurine metabolite exposure.
対処法
Monitor complete blood counts regularly and reduce azathioprine dose if leukopenia develops.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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アカウントを作成してPro+トライアルを始めると、AzathioprineとMesalamine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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Mesalamineのその他の相互作用
Azathioprineのその他の相互作用
よくある質問
Can I take Azathioprine with Mesalamine?
MediHelp rates the interaction as moderate. Azathioprine and Mesalamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Mesalamine may inhibit thiopurine methyltransferase, raising active thioguanine nucleotide levels. This can increase the risk of leukopenia and other myelosuppression.
How serious is the interaction between Azathioprine and Mesalamine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor complete blood counts regularly and reduce azathioprine dose if leukopenia develops.
What other medicines interact with Mesalamine?
MediHelp also lists interactions of Mesalamine with, for example, Measles mumps rubella and varicella vaccine live, Varicella virus vaccine live, Aceclofenac. The full list is on the Mesalamine 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。