相互作用
Doxorubicin + Paclitaxel
重症度: 重大
Doxorubicin and Paclitaxel: major interaction.
最終更新日
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概要
Paclitaxel can raise doxorubicin exposure, increasing neutropenia, mucositis and cardiotoxicity, especially when doxorubicin is given shortly before paclitaxel or at higher cumulative doses.
この相互作用をわかりやすく説明すると
Doxorubicin and Paclitaxel 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.
Doxorubicin belongs to Oncology; Paclitaxel belongs to Oncology.
なぜ起こるのか
Paclitaxel (and its vehicle) reduces biliary excretion and clearance of doxorubicin, likely via P-glycoprotein effects.
対処法
Give doxorubicin before paclitaxel with adequate interval per protocol and limit cumulative anthracycline dose. Monitor left ventricular function and blood counts.
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、DoxorubicinとPaclitaxel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。
Doxorubicinのその他の相互作用
Paclitaxelのその他の相互作用
よくある質問
Can I take Doxorubicin with Paclitaxel?
MediHelp rates the interaction as major. Doxorubicin and Paclitaxel 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. Paclitaxel can raise doxorubicin exposure, increasing neutropenia, mucositis and cardiotoxicity, especially when doxorubicin is given shortly before paclitaxel or at higher cumulative doses.
How serious is the interaction between Doxorubicin and Paclitaxel?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give doxorubicin before paclitaxel with adequate interval per protocol and limit cumulative anthracycline dose. Monitor left ventricular function and blood counts.
What other medicines interact with Doxorubicin?
MediHelp also lists interactions of Doxorubicin with, for example, Adenovirus types 4 and 7 live, Belatacept, Cobicistat. The full list is on the Doxorubicin 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。
