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相互作用

Didanosine + Hydroxycarbamide

重症度: 併用禁忌

Didanosine and Hydroxycarbamide: contraindicated interaction.

最終更新日

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概要

Combining hydroxycarbamide with didanosine has been associated with pancreatitis, hepatotoxicity and peripheral neuropathy, some fatal. The combination also appears to worsen immunologic outcomes in HIV.

この相互作用をわかりやすく説明すると

Didanosine and Hydroxycarbamide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Didanosine belongs to Anti Virals; Hydroxycarbamide belongs to Oncology.

エビデンスレベル: High

なぜ起こるのか

Overlapping toxicities, with hydroxycarbamide possibly increasing didanosine active metabolite activity and mitochondrial toxicity.

対処法

Avoid the combination and use alternative antiretrovirals without these toxicities. Monitor lipase, liver enzymes and neurologic symptoms if prior exposure occurred.

薬剤師に尋ねること

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+会員向け

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アカウントを作成してPro+トライアルを始めると、DidanosineとHydroxycarbamide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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よくある質問

Can I take Didanosine with Hydroxycarbamide?

MediHelp rates the interaction as contraindicated. Didanosine and Hydroxycarbamide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Combining hydroxycarbamide with didanosine has been associated with pancreatitis, hepatotoxicity and peripheral neuropathy, some fatal. The combination also appears to worsen immunologic outcomes in HIV.

How serious is the interaction between Didanosine and Hydroxycarbamide?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and use alternative antiretrovirals without these toxicities. Monitor lipase, liver enzymes and neurologic symptoms if prior exposure occurred.

What other medicines interact with Hydroxycarbamide?

MediHelp also lists interactions of Hydroxycarbamide with, for example, Stavudine. The full list is on the Hydroxycarbamide 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。

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