相互作用
Clarithromycin + Olaparib
重症度: 重大
Clarithromycin and Olaparib: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
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
Clarithromycin increases olaparib exposure, which may worsen anemia, neutropenia and other adverse effects.
この相互作用をわかりやすく説明すると
Clarithromycin and Olaparib 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.
Clarithromycin belongs to Anti Bacterial; Olaparib belongs to Oncology.
なぜ起こるのか
Strong CYP3A4 inhibition reduces olaparib clearance.
対処法
Avoid if possible and use an alternative antibiotic. If necessary, reduce the olaparib dose per labeling and monitor blood counts.
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、ClarithromycinとOlaparib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。
Clarithromycinのその他の相互作用
Olaparibのその他の相互作用
よくある質問
Can I take Clarithromycin with Olaparib?
MediHelp rates the interaction as major. Clarithromycin and Olaparib 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. Clarithromycin increases olaparib exposure, which may worsen anemia, neutropenia and other adverse effects.
How serious is the interaction between Clarithromycin and Olaparib?
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 if possible and use an alternative antibiotic. If necessary, reduce the olaparib dose per labeling and monitor blood counts.
What other medicines interact with Clarithromycin?
MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin 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。
