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相互作用

Enzalutamide + Pralsetinib

重症度: 重大

Enzalutamide and Pralsetinib: major interaction.

最終更新日

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概要

Strong CYP3A induction lowers pralsetinib exposure, potentially reducing efficacy in RET-driven cancers.

この相互作用をわかりやすく説明すると

Enzalutamide and Pralsetinib 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; Pralsetinib belongs to Oncology.

エビデンスレベル: Moderate

なぜ起こるのか

Enzalutamide induces CYP3A4, increasing pralsetinib clearance.

対処法

Avoid the combination. If necessary, double the pralsetinib dose from day 7 of coadministration and return to the prior dose at least 14 days after stopping the inducer.

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?

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

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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、EnzalutamideとPralsetinib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 Enzalutamide with Pralsetinib?

MediHelp rates the interaction as major. Enzalutamide and Pralsetinib 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. Strong CYP3A induction lowers pralsetinib exposure, potentially reducing efficacy in RET-driven cancers.

How serious is the interaction between Enzalutamide and Pralsetinib?

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 necessary, double the pralsetinib dose from day 7 of coadministration and return to the prior dose at least 14 days after stopping the inducer.

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。

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