相互作用
Cyclosporin + Paclitaxel
重症度: 重大
Cyclosporin and Paclitaxel: 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
Cyclosporine can increase paclitaxel exposure, increasing the risk of neutropenia, neuropathy and mucositis. The effect is relevant given paclitaxel's narrow therapeutic index.
この相互作用をわかりやすく説明すると
Cyclosporin and Paclitaxel 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; Paclitaxel belongs to Oncology.
なぜ起こるのか
Cyclosporine inhibits P-glycoprotein and CYP3A4/2C8-mediated paclitaxel elimination.
対処法
Avoid unless planned; if combined, reduce the paclitaxel dose and monitor blood counts and neuropathy 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、CyclosporinとPaclitaxel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。
Cyclosporinのその他の相互作用
Paclitaxelのその他の相互作用
よくある質問
Can I take Cyclosporin with Paclitaxel?
MediHelp rates the interaction as major. Cyclosporin and Paclitaxel 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. Cyclosporine can increase paclitaxel exposure, increasing the risk of neutropenia, neuropathy and mucositis. The effect is relevant given paclitaxel's narrow therapeutic index.
How serious is the interaction between Cyclosporin and Paclitaxel?
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 unless planned; if combined, reduce the paclitaxel dose and monitor blood counts and neuropathy 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。
