相互作用
Ethinyl estradiol-drospirenone + Exemestane
重症度: 重大
Ethinyl estradiol-drospirenone and Exemestane: major interaction.
最終更新日
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概要
Exemestane works by lowering estrogen levels in postmenopausal women with hormone-sensitive breast cancer. Giving an estrogen-containing contraceptive at the same time supplies exogenous estrogen and can counteract the intended therapeutic effect. The pairing is also not appropriate in a patient with estrogen-dependent tumor.
この相互作用をわかりやすく説明すると
Ethinyl estradiol-drospirenone and Exemestane 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.
Ethinyl estradiol-drospirenone belongs to Endocrine; Exemestane belongs to Oncology.
なぜ起こるのか
Pharmacodynamic antagonism: exogenous ethinyl estradiol opposes the estrogen-lowering effect of aromatase inhibition.
対処法
Avoid concurrent use of estrogen-containing products with exemestane. Use a non-hormonal method if contraception is needed.
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
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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、Ethinyl estradiol-drospirenoneとExemestane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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Ethinyl estradiol-drospirenoneのその他の相互作用
- Ethinyl estradiol-drospirenone + Fezolinetant 併用禁忌
- Ethinyl estradiol-drospirenone + Ombitasvir / paritaprevir / ritonavir 併用禁忌
- Ethinyl estradiol-drospirenone + Ombitasvir / paritaprevir / ritonavir and dasabuvir 併用禁忌
- Ethinyl estradiol-drospirenone + Tranexamic acid 併用禁忌
- Aminocaproic acid + Ethinyl estradiol-drospirenone 重大
- Amobarbital + Ethinyl estradiol-drospirenone 重大
Exemestaneのその他の相互作用
よくある質問
Can I take Ethinyl estradiol-drospirenone with Exemestane?
MediHelp rates the interaction as major. Ethinyl estradiol-drospirenone and Exemestane 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. Exemestane works by lowering estrogen levels in postmenopausal women with hormone-sensitive breast cancer. Giving an estrogen-containing contraceptive at the same time supplies exogenous estrogen and can counteract the intended therapeutic effect. The pairing is also not appropriate in a patient with estrogen-dependent tumor.
How serious is the interaction between Ethinyl estradiol-drospirenone and Exemestane?
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 concurrent use of estrogen-containing products with exemestane. Use a non-hormonal method if contraception is needed.
What other medicines interact with Ethinyl estradiol-drospirenone?
MediHelp also lists interactions of Ethinyl estradiol-drospirenone with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir, Ombitasvir / paritaprevir / ritonavir and dasabuvir. The full list is on the Ethinyl estradiol-drospirenone 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。