相互作用
Dicloxacillin + Methotrexate
重症度: 中等度
Dicloxacillin and Methotrexate: moderate interaction.
最終更新日
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概要
Penicillins can raise methotrexate blood levels and prolong its exposure. This may lead to bone marrow suppression and gastrointestinal toxicity, particularly with high-dose methotrexate or reduced kidney function.
この相互作用をわかりやすく説明すると
Dicloxacillin and Methotrexate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Dicloxacillin belongs to Anti Bacterial; Methotrexate belongs to Oncology.
なぜ起こるのか
Penicillins compete with methotrexate for renal tubular secretion, reducing its renal clearance.
対処法
Monitor blood counts, renal function and methotrexate levels where available. Consider an alternative antibiotic or reduce methotrexate dose if toxicity develops.
薬剤師に尋ねること
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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、DicloxacillinとMethotrexate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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Methotrexateのその他の相互作用
Dicloxacillinのその他の相互作用
よくある質問
Can I take Dicloxacillin with Methotrexate?
MediHelp rates the interaction as moderate. Dicloxacillin and Methotrexate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Penicillins can raise methotrexate blood levels and prolong its exposure. This may lead to bone marrow suppression and gastrointestinal toxicity, particularly with high-dose methotrexate or reduced kidney function.
How serious is the interaction between Dicloxacillin and Methotrexate?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts, renal function and methotrexate levels where available. Consider an alternative antibiotic or reduce methotrexate dose if toxicity develops.
What other medicines interact with Methotrexate?
MediHelp also lists interactions of Methotrexate with, for example, Acitretin, Adenovirus types 4 and 7 live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Methotrexate 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。
