相互作用
Dalfampridine + Trilaciclib
重症度: 重大
Dalfampridine and Trilaciclib: major interaction.
最終更新日
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概要
Dalfampridine is eliminated largely by active renal secretion through OCT2. Trilaciclib inhibits renal transporters, which may raise dalfampridine levels and increase the risk of seizures, a concentration-dependent toxicity.
この相互作用をわかりやすく説明すると
Dalfampridine and Trilaciclib 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.
Dalfampridine belongs to Central Nervous System; Trilaciclib belongs to Oncology.
なぜ起こるのか
Trilaciclib inhibits OCT2 and MATE transporters, reducing renal secretion of dalfampridine.
対処法
Avoid the combination where possible, and weigh the benefit of trilaciclib against seizure risk. If used together, monitor for neurological symptoms, especially in patients with renal impairment or seizure history.
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、DalfampridineとTrilaciclib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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Dalfampridineのその他の相互作用
Trilaciclibのその他の相互作用
よくある質問
Can I take Dalfampridine with Trilaciclib?
MediHelp rates the interaction as major. Dalfampridine and Trilaciclib 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. Dalfampridine is eliminated largely by active renal secretion through OCT2. Trilaciclib inhibits renal transporters, which may raise dalfampridine levels and increase the risk of seizures, a concentration-dependent toxicity.
How serious is the interaction between Dalfampridine and Trilaciclib?
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 the combination where possible, and weigh the benefit of trilaciclib against seizure risk. If used together, monitor for neurological symptoms, especially in patients with renal impairment or seizure history.
What other medicines interact with Dalfampridine?
MediHelp also lists interactions of Dalfampridine with, for example, Alogliptin-metformin, Canagliflozin-metformin, Dapagliflozin-metformin. The full list is on the Dalfampridine 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。
