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相互作用

Cyclosporin + Etoposide

重症度: 重大

Cyclosporin and Etoposide: major interaction.

最終更新日

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概要

Cyclosporin increases etoposide exposure, which can intensify myelosuppression and mucositis. Added immunosuppression also raises infection risk.

この相互作用をわかりやすく説明すると

Cyclosporin and Etoposide 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.

Cyclosporin belongs to Miscellaneous; Etoposide belongs to Oncology.

エビデンスレベル: Moderate

なぜ起こるのか

Cyclosporin inhibits P-glycoprotein and CYP3A4, decreasing etoposide efflux and clearance.

対処法

Reduce the etoposide dose when given with cyclosporin and monitor 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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アカウントを作成してPro+トライアルを始めると、CyclosporinとEtoposide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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よくある質問

Can I take Cyclosporin with Etoposide?

MediHelp rates the interaction as major. Cyclosporin and Etoposide 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. Cyclosporin increases etoposide exposure, which can intensify myelosuppression and mucositis. Added immunosuppression also raises infection risk.

How serious is the interaction between Cyclosporin and Etoposide?

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 etoposide dose when given with cyclosporin and monitor blood counts closely.

What other medicines interact with Cyclosporin?

MediHelp also lists interactions of Cyclosporin with, for example, Adenovirus types 4 and 7 live, Aliskiren, Bcg vaccine live. The full list is on the Cyclosporin 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。

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