相互作用
Dacomitinib + Pantoprazole
重症度: 重大
Dacomitinib and Pantoprazole: 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
Proton pump inhibitors reduce dacomitinib exposure, which may lessen its antitumor efficacy. The effect stems from reduced absorption at higher gastric pH.
この相互作用をわかりやすく説明すると
Dacomitinib and Pantoprazole 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.
Dacomitinib belongs to Oncology; Pantoprazole belongs to Gastrointestinal Tract.
なぜ起こるのか
Higher gastric pH from the proton pump inhibitor reduces dacomitinib solubility and absorption.
対処法
Avoid pantoprazole; if acid suppression is needed, use a locally acting antacid or an H2 blocker with dacomitinib given at least 6 hours before or 10 hours after.
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、DacomitinibとPantoprazole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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Pantoprazoleのその他の相互作用
Dacomitinibのその他の相互作用
よくある質問
Can I take Dacomitinib with Pantoprazole?
MediHelp rates the interaction as major. Dacomitinib and Pantoprazole 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. Proton pump inhibitors reduce dacomitinib exposure, which may lessen its antitumor efficacy. The effect stems from reduced absorption at higher gastric pH.
How serious is the interaction between Dacomitinib and Pantoprazole?
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 pantoprazole; if acid suppression is needed, use a locally acting antacid or an H2 blocker with dacomitinib given at least 6 hours before or 10 hours after.
What other medicines interact with Pantoprazole?
MediHelp also lists interactions of Pantoprazole with, for example, Rilpivirine, Acalabrutinib, Atazanavir. The full list is on the Pantoprazole 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。
