相互作用
Baricitinib + Probenecid
重症度: 重大
Baricitinib and Probenecid: major interaction.
最終更新日
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概要
Probenecid inhibits renal organic anion transporter 3, which helps clear baricitinib into urine. Baricitinib exposure rises, which may increase dose-related adverse effects such as infection, cytopenias and lipid changes.
この相互作用をわかりやすく説明すると
Baricitinib and Probenecid 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.
Baricitinib belongs to Musculoskeletal; Probenecid belongs to Genitourinary.
なぜ起こるのか
Inhibition of OAT3-mediated renal tubular secretion of baricitinib reduces its elimination.
対処法
Baricitinib labeling advises against using it with strong OAT3 inhibitors such as probenecid; if unavoidable, reduce the baricitinib dose as per labeling. Monitor for infection and hematologic abnormalities.
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、BaricitinibとProbenecid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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Probenecidのその他の相互作用
Baricitinibのその他の相互作用
よくある質問
Can I take Baricitinib with Probenecid?
MediHelp rates the interaction as major. Baricitinib and Probenecid 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. Probenecid inhibits renal organic anion transporter 3, which helps clear baricitinib into urine. Baricitinib exposure rises, which may increase dose-related adverse effects such as infection, cytopenias and lipid changes.
How serious is the interaction between Baricitinib and Probenecid?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Baricitinib labeling advises against using it with strong OAT3 inhibitors such as probenecid; if unavoidable, reduce the baricitinib dose as per labeling. Monitor for infection and hematologic abnormalities.
What other medicines interact with Probenecid?
MediHelp also lists interactions of Probenecid with, for example, Ketorolac intranasal, Ketorolac, Ceftazidime / avibactam. The full list is on the Probenecid 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。
