相互作用
Chloramphenicol + Palovarotene
重症度: 重大
Chloramphenicol and Palovarotene: major interaction.
最終更新日
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概要
Palovarotene is cleared largely by CYP3A4, and chloramphenicol may increase its concentrations. Retinoid toxicity such as mucocutaneous effects, bone changes and hypervitaminosis A-like effects could be amplified.
この相互作用をわかりやすく説明すると
Chloramphenicol and Palovarotene 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.
Chloramphenicol belongs to Anti Bacterial; Palovarotene belongs to Miscellaneous.
なぜ起こるのか
Chloramphenicol inhibits CYP3A4 metabolism of palovarotene.
対処法
Avoid the combination and choose another antibiotic. If it cannot be avoided, monitor closely for retinoid toxicity and consider a dose reduction.
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、ChloramphenicolとPalovarotene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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Chloramphenicolのその他の相互作用
Palovaroteneのその他の相互作用
よくある質問
Can I take Chloramphenicol with Palovarotene?
MediHelp rates the interaction as major. Chloramphenicol and Palovarotene 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. Palovarotene is cleared largely by CYP3A4, and chloramphenicol may increase its concentrations. Retinoid toxicity such as mucocutaneous effects, bone changes and hypervitaminosis A-like effects could be amplified.
How serious is the interaction between Chloramphenicol and Palovarotene?
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 and choose another antibiotic. If it cannot be avoided, monitor closely for retinoid toxicity and consider a dose reduction.
What other medicines interact with Chloramphenicol?
MediHelp also lists interactions of Chloramphenicol with, for example, Adagrasib, Avapritinib, Bcg vaccine live. The full list is on the Chloramphenicol 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。
