相互作用
Cyclosporine + Mitoxantrone
重症度: 重大
Cyclosporine and Mitoxantrone: 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 mitoxantrone exposure, potentially intensifying myelosuppression and cardiotoxicity. Additive immunosuppression also raises infection risk.
この相互作用をわかりやすく説明すると
Cyclosporine and Mitoxantrone 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.
なぜ起こるのか
Inhibition of P-glycoprotein and BCRP efflux by cyclosporine reduces mitoxantrone clearance, with additive immunosuppression.
対処法
Monitor blood counts and cardiac function closely, and consider reducing the mitoxantrone dose.
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、CyclosporineとMitoxantrone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。
Mitoxantroneのその他の相互作用
よくある質問
Can I take Cyclosporine with Mitoxantrone?
MediHelp rates the interaction as major. Cyclosporine and Mitoxantrone 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 mitoxantrone exposure, potentially intensifying myelosuppression and cardiotoxicity. Additive immunosuppression also raises infection risk.
How serious is the interaction between Cyclosporine and Mitoxantrone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts and cardiac function closely, and consider reducing the mitoxantrone dose.
What other medicines interact with Mitoxantrone?
MediHelp also lists interactions of Mitoxantrone with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Mitoxantrone 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。
