相互作用
Etrasimod + Mitoxantrone
重症度: 重大
Etrasimod and Mitoxantrone: major interaction.
最終更新日
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概要
Etrasimod lowers circulating lymphocytes, and mitoxantrone is immunosuppressive and myelosuppressive. Together they may increase the risk of serious infection, and the combination has not been studied.
この相互作用をわかりやすく説明すると
Etrasimod and Mitoxantrone 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.
Etrasimod belongs to Gastrointestinal Tract; Mitoxantrone belongs to Central Nervous System.
なぜ起こるのか
Additive immunosuppression from S1P receptor modulation plus cytotoxic marrow suppression.
対処法
Avoid co-administration where possible, and allow washout of etrasimod after stopping. Monitor lymphocyte and neutrophil counts and for infection.
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、EtrasimodとMitoxantrone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。
Mitoxantroneのその他の相互作用
Etrasimodのその他の相互作用
よくある質問
Can I take Etrasimod with Mitoxantrone?
MediHelp rates the interaction as major. Etrasimod and Mitoxantrone 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. Etrasimod lowers circulating lymphocytes, and mitoxantrone is immunosuppressive and myelosuppressive. Together they may increase the risk of serious infection, and the combination has not been studied.
How serious is the interaction between Etrasimod and Mitoxantrone?
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 co-administration where possible, and allow washout of etrasimod after stopping. Monitor lymphocyte and neutrophil counts and for infection.
What other medicines interact with Mitoxantrone?
MediHelp also lists interactions of Mitoxantrone with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Mitoxantrone 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。