相互作用
Brexpiprazole + Dacomitinib
重症度: 重大
Brexpiprazole and Dacomitinib: major interaction.
最終更新日
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概要
Dacomitinib strongly inhibits CYP2D6, one of the two main enzymes that clear brexpiprazole, so brexpiprazole levels can rise. This increases the risk of dose-related adverse effects such as akathisia, sedation and orthostasis.
この相互作用をわかりやすく説明すると
Brexpiprazole and Dacomitinib 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.
Brexpiprazole belongs to Central Nervous System; Dacomitinib belongs to Oncology.
なぜ起こるのか
Inhibition of CYP2D6-mediated metabolism of brexpiprazole by dacomitinib.
対処法
Reduce the brexpiprazole dose to about half while dacomitinib is given, and monitor for adverse effects; restore the usual dose after dacomitinib is stopped and its effect has waned.
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、BrexpiprazoleとDacomitinib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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Brexpiprazoleのその他の相互作用
Dacomitinibのその他の相互作用
よくある質問
Can I take Brexpiprazole with Dacomitinib?
MediHelp rates the interaction as major. Brexpiprazole and Dacomitinib 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. Dacomitinib strongly inhibits CYP2D6, one of the two main enzymes that clear brexpiprazole, so brexpiprazole levels can rise. This increases the risk of dose-related adverse effects such as akathisia, sedation and orthostasis.
How serious is the interaction between Brexpiprazole and Dacomitinib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the brexpiprazole dose to about half while dacomitinib is given, and monitor for adverse effects; restore the usual dose after dacomitinib is stopped and its effect has waned.
What other medicines interact with Brexpiprazole?
MediHelp also lists interactions of Brexpiprazole with, for example, Alfentanil, Amisulpride, Apalutamide. The full list is on the Brexpiprazole 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。
