相互作用
Benzhydrocodone / acetaminophen + Imatinib
重症度: 重大
Benzhydrocodone / acetaminophen and Imatinib: major interaction.
最終更新日
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概要
Benzhydrocodone is a prodrug of hydrocodone, which is metabolised by CYP3A4 to norhydrocodone. Imatinib inhibits CYP3A4, which can raise hydrocodone levels and increase sedation and respiratory depression.
この相互作用をわかりやすく説明すると
Benzhydrocodone / acetaminophen and Imatinib 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.
なぜ起こるのか
CYP3A4 inhibition by imatinib reduces hydrocodone clearance, with a minor contribution from CYP2D6 inhibition.
対処法
Monitor closely for sedation and respiratory depression, and reduce the opioid dose if needed. Take care when imatinib is started or stopped.
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、Benzhydrocodone / acetaminophenとImatinib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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Imatinibのその他の相互作用
よくある質問
Can I take Benzhydrocodone / acetaminophen with Imatinib?
MediHelp rates the interaction as major. Benzhydrocodone / acetaminophen and Imatinib 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. Benzhydrocodone is a prodrug of hydrocodone, which is metabolised by CYP3A4 to norhydrocodone. Imatinib inhibits CYP3A4, which can raise hydrocodone levels and increase sedation and respiratory depression.
How serious is the interaction between Benzhydrocodone / acetaminophen and Imatinib?
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 closely for sedation and respiratory depression, and reduce the opioid dose if needed. Take care when imatinib is started or stopped.
What other medicines interact with Imatinib?
MediHelp also lists interactions of Imatinib with, for example, Lomitapide, Lonafarnib, Amobarbital. The full list is on the Imatinib 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。
