相互作用
Enzalutamide + Erlotinib
重症度: 重大
Enzalutamide and Erlotinib: 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
Erlotinib is cleared mainly by CYP3A4, and strong inducers reduce its exposure significantly. Lower levels may reduce tumor control.
この相互作用をわかりやすく説明すると
Enzalutamide and Erlotinib 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.
Enzalutamide belongs to Endocrine; Erlotinib belongs to Oncology.
なぜ起こるのか
Enzalutamide induces CYP3A4, increasing erlotinib metabolism.
対処法
Avoid the combination if possible. If it cannot be avoided, consider increasing the erlotinib dose cautiously with monitoring for toxicity, and reduce it after the inducer is stopped.
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、EnzalutamideとErlotinib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。
Enzalutamideのその他の相互作用
Erlotinibのその他の相互作用
よくある質問
Can I take Enzalutamide with Erlotinib?
MediHelp rates the interaction as major. Enzalutamide and Erlotinib 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. Erlotinib is cleared mainly by CYP3A4, and strong inducers reduce its exposure significantly. Lower levels may reduce tumor control.
How serious is the interaction between Enzalutamide and Erlotinib?
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 if possible. If it cannot be avoided, consider increasing the erlotinib dose cautiously with monitoring for toxicity, and reduce it after the inducer is stopped.
What other medicines interact with Enzalutamide?
MediHelp also lists interactions of Enzalutamide with, for example, Doravirine, Elbasvir / grazoprevir, Ensitrelvir. The full list is on the Enzalutamide 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。
