相互作用
Carmustine + Cimetidine
重症度: 重大
Carmustine and Cimetidine: 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
Cimetidine has been reported to increase carmustine-related bone marrow suppression. This may produce deeper or more prolonged leukopenia and thrombocytopenia.
この相互作用をわかりやすく説明すると
Carmustine and Cimetidine 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.
Carmustine belongs to Oncology; Cimetidine belongs to Gastrointestinal Tract.
なぜ起こるのか
Cimetidine may reduce hepatic metabolism of carmustine and possibly adds to marrow suppression; the mechanism is not fully established.
対処法
Avoid the combination where possible and use famotidine or another acid suppressant instead. If given together, monitor complete blood counts closely.
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、CarmustineとCimetidine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。
Cimetidineのその他の相互作用
Carmustineのその他の相互作用
よくある質問
Can I take Carmustine with Cimetidine?
MediHelp rates the interaction as major. Carmustine and Cimetidine 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. Cimetidine has been reported to increase carmustine-related bone marrow suppression. This may produce deeper or more prolonged leukopenia and thrombocytopenia.
How serious is the interaction between Carmustine and Cimetidine?
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 where possible and use famotidine or another acid suppressant instead. If given together, monitor complete blood counts closely.
What other medicines interact with Cimetidine?
MediHelp also lists interactions of Cimetidine with, for example, Dofetilide, Fezolinetant, Alfentanil. The full list is on the Cimetidine 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。
