相互作用
Azathioprine + Mycophenolic acid
重症度: 重大
Azathioprine and Mycophenolic acid: major interaction.
最終更新日
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このページの臨床コンテンツは英語でのみ提供されています。
概要
Both inhibit purine synthesis pathways and together can cause additive bone marrow suppression, with leukopenia and increased infection risk. Combination offers no established benefit.
この相互作用をわかりやすく説明すると
Azathioprine and Mycophenolic acid 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; Mycophenolic acid belongs to Miscellaneous.
なぜ起こるのか
Additive inhibition of purine metabolism in lymphocytes and marrow cells.
対処法
Avoid the combination; use one agent only. If a switch is made, monitor complete blood counts.
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Mycophenolic acid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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Mycophenolic acid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 Mycophenolic acid?
MediHelp rates the interaction as major. Azathioprine and Mycophenolic acid 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. Both inhibit purine synthesis pathways and together can cause additive bone marrow suppression, with leukopenia and increased infection risk. Combination offers no established benefit.
How serious is the interaction between Azathioprine and Mycophenolic acid?
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 the combination; use one agent only. If a switch is made, monitor complete blood counts.
What other medicines interact with Mycophenolic acid?
MediHelp also lists interactions of Mycophenolic acid with, for example, Activated charcoal, Cholestyramine, Ganciclovir. The full list is on the Mycophenolic acid 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。
