相互作用
Clarithromycin + Tisotumab vedotin
重症度: 中等度
Clarithromycin and Tisotumab vedotin: moderate 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
The cytotoxic payload MMAE from tisotumab vedotin is a CYP3A4 substrate. A strong inhibitor like clarithromycin may raise MMAE exposure and increase toxicity, including neuropathy, neutropenia and ocular effects.
この相互作用をわかりやすく説明すると
Clarithromycin and Tisotumab vedotin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Clarithromycin belongs to Anti Bacterial; Tisotumab vedotin belongs to Oncology.
なぜ起こるのか
Clarithromycin inhibits CYP3A4 metabolism of MMAE.
対処法
Consider a non-CYP3A4-inhibiting antibiotic. If combined, monitor for adverse reactions of tisotumab vedotin.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Tisotumab vedotin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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Clarithromycinのその他の相互作用
Tisotumab vedotinのその他の相互作用
よくある質問
Can I take Clarithromycin with Tisotumab vedotin?
MediHelp rates the interaction as moderate. Clarithromycin and Tisotumab vedotin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. The cytotoxic payload MMAE from tisotumab vedotin is a CYP3A4 substrate. A strong inhibitor like clarithromycin may raise MMAE exposure and increase toxicity, including neuropathy, neutropenia and ocular effects.
How serious is the interaction between Clarithromycin and Tisotumab vedotin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider a non-CYP3A4-inhibiting antibiotic. If combined, monitor for adverse reactions of tisotumab vedotin.
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。
