相互作用
Azathioprine + Trastuzumab deruxtecan
重症度: 重大
Azathioprine and Trastuzumab deruxtecan: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
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
Trastuzumab deruxtecan commonly causes neutropenia, and azathioprine also suppresses marrow and immune function. Together they may increase the risk of severe neutropenia and infection.
この相互作用をわかりやすく説明すると
Azathioprine and Trastuzumab deruxtecan 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; Trastuzumab deruxtecan belongs to Oncology.
なぜ起こるのか
Additive myelosuppression and immunosuppression from the cytotoxic topoisomerase I inhibitor payload and azathioprine's antimetabolite effect.
対処法
Monitor complete blood counts before each trastuzumab deruxtecan dose and watch for fever or infection. Consider reducing or stopping azathioprine if neutropenia develops.
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Trastuzumab deruxtecan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
WebでPro+を14日間無料でお試し。カード登録不要。
Azathioprineのその他の相互作用
Trastuzumab deruxtecanのその他の相互作用
よくある質問
Can I take Azathioprine with Trastuzumab deruxtecan?
MediHelp rates the interaction as major. Azathioprine and Trastuzumab deruxtecan 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. Trastuzumab deruxtecan commonly causes neutropenia, and azathioprine also suppresses marrow and immune function. Together they may increase the risk of severe neutropenia and infection.
How serious is the interaction between Azathioprine and Trastuzumab deruxtecan?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor complete blood counts before each trastuzumab deruxtecan dose and watch for fever or infection. Consider reducing or stopping azathioprine if neutropenia develops.
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。
